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[Total anomalous pulmonary venous connection].

M Yokota1

  • 1Department of Cardiovascular Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.

Nihon Geka Gakkai Zasshi
|August 30, 2001
PubMed
Summary
This summary is machine-generated.

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Surgical outcomes for simple total anomalous pulmonary venous connection have improved. However, complex cases, especially in newborns with asplenia, still have poor survival rates, highlighting the need for better treatments.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease Surgery
  • Neonatal Critical Care

Context:

  • Surgical outcomes for simple total anomalous pulmonary venous connection (TAPVC) have significantly improved.
  • Advances in perioperative nitric oxide and extracorporeal membrane oxygenation have improved outcomes for severely hypoxic neonates with TAPVC.
  • Complex TAPVC, particularly in neonates with asplenia, remains associated with poor surgical results.

Purpose:

  • To review the current surgical outcomes and diagnostic challenges in total anomalous pulmonary venous connection (TAPVC).
  • To highlight the advancements in managing simple TAPVC and the persistent difficulties in complex cases.
  • To discuss the role of advanced imaging and potential new surgical techniques.

Summary:

Related Experiment Videos

  • Surgical results for simple (isolated) total anomalous pulmonary venous connection (TAPVC) have markedly improved, with even severely hypoxic neonates becoming salvagable due to perioperative nitric oxide and extracorporeal membrane oxygenation.
  • Outcomes for complex TAPVC surgery, especially in neonates with asplenia, remain very poor. Common pulmonary vein atresia is an ominous diagnosis with few reported survivors.
  • Reoperation for postoperative pulmonary vein stenosis also has poor results, though the "sutureless technique" shows promise. Postnatal diagnosis via echocardiography and MRI is precise, often avoiding cardiac catheterization.

    • Impact:

    • Improved survival rates for simple TAPVC through advanced perioperative support.
    • Identifies critical unmet needs in managing complex TAPVC and pulmonary vein stenosis.
    • Emphasizes the diagnostic precision of postnatal echocardiography and MRI, reducing invasive procedures.