Comparative analysis of the treatment of partial anomalous pulmonary vein connection by double-patch method or Warden Technique
10.3760/cma.j.cn112434-20200821-00382
- VernacularTitle:双片法和Warden法矫治部分型肺静脉异位引流的对比分析
- Author:
Zhiyi WANG
1
;
Yongtao WU
;
Yao YANG
;
Dong WANG
;
Can JIN
;
Xiangming FAN
Author Information
1. 首都医科大学附属北京安贞医院小儿心脏中心 北京市心肺血管疾病研究所 100029
- Keywords:
Partial anomalous pulmonary venous connection;
Surgery;
Arrhythmia;
Superior vena cava stenosis;
Pulmonary vein stenosis
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(12):729-732
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the surgical and long-term follow-up results of partial anomalous pulmonary vein connection treated by double-patch method or Warden Technique.Methods:There were 33 cases of right pulmonary vein connected with the superior vena cava from May 2010 to May 2019 in our center treated by double-patch method or Warden technique. 21 cases were treated by double-patch method and 12 cases by Warden technique. Echocardiography and electrocardiogram were followed up regularly to observe the occurrence of arrhythmia, superior vena cava stenosis and pulmonary vein stenosis postoperatively.Results:All patients were discharged uneventfully, and were followed up for 1~8 years. In double-patch group, 2 cases with arrhythmia, 1 of whom was junctional arrhythmia which was automatically converted to sinus rhythm 1 day after surgery. The other had an early second degree atrioventricular block after surgery, and sinus rhythm was restored 3 days later with temporary pacemaker. 1 case had superior vena cava stenosis by echocardiography(PD 8 mmHg). No arrhythmia was found in long-term follow-up in Warden group. 2 cases had superior vena cava stenosis by echocardiography(PD 6 mmHg). Right pulmonary vein stenosis(PD 8 mmHg) was found in 1 case by echocardiography, no obvious aggravation was found in long-term follow-up.Conclusion:The double-patch method and Warden Technique are both safe and effective in the treatment of partial anomalous pulmonary venous connection.
