Evaluation of Post-operative Complication in Patients With Total Anomalous Pulmonary Venous Connection by Echocardiography
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1000-3614.2014.08.011
   		
        
        	
        		- VernacularTitle:应用超声心动图评价完全性肺静脉异位引流患儿术后并发症的研究
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Jingya LI
			        		
			        		;
		        		
		        		
		        		
			        		Fangyun WANG
			        		
			        		;
		        		
		        		
		        		
			        		Xiaofeng LI
			        		
			        		;
		        		
		        		
		        		
			        		Lanzhong JIN
			        		
			        		;
		        		
		        		
		        		
			        		Xin ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Guiqin MA
			        		
			        		;
		        		
		        		
		        		
			        		Lin ZHENG
			        		
			        		;
		        		
		        		
		        		
			        		Haiyan WEI
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Total anomalous pulmonary venous connection;
			        		
			        		
			        		
				        		Echocardiography;
			        		
			        		
			        		
				        		Pulmonary vein stenosis
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Circulation Journal
	            		
	            		 2014;(8):598-601
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective: To evaluate the post-operative complication of pulmonary vein stenosis in patients with total anomalous pulmonary venous connection (TAPVC) by echocardiography. 
 Methods: A total of 66 TAPVC pediatric patients with surgical repair in our hospital were retrospectively studied. The peri-operative and mid-term post-operative echocardiography was conducted to evaluate the complication of pulmonary vein stenosis. 
 Results: The peri-operative and mid-term post-operative echocardiography presented the increased left ventricular diastolic end diameter (LVEDd) and decreased right ventricular diameter in all 66 patients, P<0.05. There were 6 patients with pulmonary vein stenosis showed high velocity Doppler signals at atanastomosis. The peri-operative echocardiography in those 6 patients showed increased LVEDd, decreased right ventricular diameter and pulmonary artery pressure, all P<0.05. The mid-term post-operative echocardiography in those 6 patients indicated increased LVEDd, P<0.05, while the right ventricular diameter and pulmonary artery pressure were similar before and after the operation, P>0.05. 
 Conclusion: Echocardiography may monitor the operative effect of TAPVC, the occurrence of post-operative pulmonary vein stenosis could be found by examining right ventricular diameter and pulmonary artery pressure in pediatric patients.