Article Sidebar

PDF
Date Published: 28/12/2022
Abstract Views: 168
Views PDF: 76
DOI: https://doi.org/10.51298/vmj.v520i1.3739
Issue
Vol. 520 No. 1A (2022)
Section
Các bài báo
How to Cite
Lý Thịnh Trường, N. ., & Đình Duyên, M. . (2022). SHORT-TERM OUTCOMES OF SURGICAL REPAIR FOR TOTAL ANOMALOUS PULMONARY VEIN CONNECTION WITH INFRACARDIAC CONNECTION TYPE AT VIETNAM NATIONAL CHILDREN’S HOSPITAL. Vietnam Medical Journal, 520(1A). https://doi.org/10.51298/vmj.v520i1.3739

SHORT-TERM OUTCOMES OF SURGICAL REPAIR FOR TOTAL ANOMALOUS PULMONARY VEIN CONNECTION WITH INFRACARDIAC CONNECTION TYPE AT VIETNAM NATIONAL CHILDREN’S HOSPITAL

Nguyễn Lý Thịnh Trường1,, Mai Đình Duyên1
1 Vietnam National Children's Hospital

Main Article Content

Abstract

Objective: Short-term results of surgical repair for obstructed total anomalous pulmonary venous connection with infracardiac type at National Children's Hospital were evaluated. Methods: From 2011 to 2017, all patients diagnosed with obstructed total anomalous pulmonary venous connection who underwent surgical repair at our center were retrospectively reviewed. Results: A total of 20 patients were collected in our study. There were 13 males and 7 females. The mean age and the mean weight of our patients were 16.25 ± 20.14 days (1-80 days), and 3.2 ± 0.87 kg (1.9-5.7 kg), respectively. 6 patients (30%) were admitted to the hospital with cardiogenic shock and required emergency operation and 11 patients (55%) who required preoperative ventilator. The mean aortic cross-clamp time and bypass time were 67.9±24.7 minutes (41-154 minutes) and 132.8±41.5 minutes (82-247 minutes). There were 3 patients (15%) required secondary sternum closure. 1 patient died postoperatively and no late mortality and no patient required reoperation due to recurrent pulmonary vein stenosis. Conclusions: Short-term results of surgical repair for obstructed total anomalous pulmonary venous connection were excellent. Further investigation is needed for long-term outcomes assessment with a bigger number of patients.

Article Details

Keywords

total anomalous pulmonary venous connection, obstruction of the pulmonary venous return, sutureless surgical repair

References

1. Xi L, Wu C, Pan Z, Xiang M. Emergency surgery without stabilization prior to surgical repair for total anomalous pulmonary venous connection reduces duration of mechanical ventilation without reducing survival. J Cardiothorac Surg. 2021 Dec;16(1):213.
2. Liufu R, Liu X, Liu T, Chen J, Wen S, Cen J, et al. Primary sutureless repair for infracardiac total anomalous pulmonary venous connection. Eur J Cardiothorac Surg. 2021 May 8;59(5):959–66.
3. Karamlou T, Gurofsky R, Al Sukhni E, Coles JG, Williams WG, Caldarone CA, et al. Factors Associated With Mortality and Reoperation in 377 Children With Total Anomalous Pulmonary Venous Connection. Circulation. 2007 Mar 27;115(12):1591–8.
4. Shi G, Zhu Z, Chen J, Ou Y, Hong H, Nie Z, et al. Total Anomalous Pulmonary Venous Connection: The Current Management Strategies in a Pediatric Cohort of 768 Patients. Circulation. 2017 Jan 3;135(1):48–58.
5. White BR, Ho DY, Faerber JA, Katcoff H, Glatz AC, Mascio CE, et al. Repair of Total Anomalous Pulmonary Venous Connection: Risk Factors for Postoperative Obstruction. Ann Thorac Surg. 2019 Jul;108(1):122–9.
6. Husain SA, Maldonado E, Rasch D, Michalek J, Taylor R, Curzon C, et al. Total Anomalous Pulmonary Venous Connection: Factors Associated With Mortality and Recurrent Pulmonary Venous Obstruction. Ann Thorac Surg. 2012 Sep; 94(3): 825–32.