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MIDTERM RESULTS OF SURGICAL CORRECTION FOR OBSTRUCTED TOTAL ANOMALOUS PULMONARY VEIN CONNECTION WITH SUPRACARDIAC CONNECTION TYPE AT VIETNAM NATIONAL CHILDREN’S HOSPITAL
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Abstract
Objective: We evaluated the midterm results of surgical repair for patients who were diagnosed of obstructed total anomalous pulmonary venous return with supracardiac type at Vietnam National Children’s Hospital. Methods: From 2011 to 2017, patients diagnosed with obstructed total anomalous pulmonary venous connection with supracardiac type at our center, who underwent surgical repair were retrospectively reviewed. Results: Forty-night patients were retrospectively collected in our study. There were 29 males and 20 females. The mean age and the mean weight of patients in this study were 72.1 ± 89.3 days (1-540 days), and 4 ± 1.2 kg (1.7-8 kg), respectively. Twelve patients (24.5%) were admitted to the hospital with cardiogenic shock and required emergency operation, 37 patients (75.5%) had respiratory distress with 28 patients (57.1%) needed preoperative ventilators, and 35 patients had unstable hemodynamics required inotropic support. The mean aortic cross-clamp time and bypass time were 50 ± 63.1 minutes (32-127 minutes), and 112.2 ± 39.9 minutes (72-270 minutes). Twenty-six patients (53.1%) had primary sutureless repair. One patient needs ECMO support and 4 patients had delayed chest closure. There were 6 patients (12%) died in hospital and 2 late death (4.1%). 1 patient needs reoperation for pulmonary vein stenosis during follow-up. Conclusions: Midterm outcomes of surgical repair for obstructed total anomalous pulmonary venous connection with supracardiac type are good. For the assessment of long-term results with a larger patient population, further research is required.
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Keywords
total anomalous pulmonary venous connection supracardiac type, obstruction of the pulmonary venous return, primary sutureless repair
References
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