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[Total anomalous of pulmonary venous connection in infants less than 3 months old]
1Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, Matsuyama, Japan.
Insights
This study reviewed surgical outcomes for 6 infants with total anomalous pulmonary venous connection (TAPVC). Advances in diagnosis and perioperative management may improve surgical results for TAPVC patients.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Surgery
- Thoracic Surgery
Context:
- Total anomalous pulmonary venous connection (TAPVC) is a critical congenital heart defect.
- Infants diagnosed with TAPVC require prompt surgical intervention.
- Early surgical repair is crucial for improving outcomes in TAPVC patients.
Purpose:
- To retrospectively analyze the surgical outcomes of infants with TAPVC.
- To evaluate the impact of pre, peri, and postoperative management on surgical results.
- To assess the effectiveness of different surgical techniques for TAPVC repair.
Summary:
- The study reviewed 6 infants (<3 months old) undergoing total TAPVC repair between 1993-1998.
- Surgical approaches included the cut-back method and posterior approach.
- Three hospital deaths occurred in critically ill patients; no late deaths were observed.
Impact:
- Improved non-invasive diagnostic tools like echocardiography enhance surgical planning.
- Optimized perioperative management is key to successful TAPVC repair.
- Long-term follow-up is essential to monitor for pulmonary venous obstruction post-surgery.
Abstract:
We examined the surgical results of total anomalous pulmonary venous connection (TAPVC) retrospectively in 6 infants, who were less than 3 months old and underwent a total repair at Ehime Prefectural Central Hospital between May, 1993 through May, 1998, in terms of the pre, peri, and postoperative management, the site of connection, and the surgical procedures. Aged at operation ranged from 1 day to 86 days (mean 39 days), and body weight ranged from 2.4 kg to 5.5 kg (mean 3.4 kg). All 6 patients had echocardiographic diagnosis and cardiac catheterization but one. In operative procedure, cut back method was done in a patient of paracardiac type of Darling's classification and posterior approach was used in total correction for 4 supracardiac and 1 infracardiac type. There were 3 hospital deaths who had poor conditions before operation, but no late deaths. Surgical results of TAPVC might have been improved with advances in non-invasive diagnosis by echocardiography, and pre and perioperative management. And we should take care of these patients of TAPVC in long term period to make sure that they have no pulmonary venous obstruction.