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Surgical treatment of total anomalous pulmonary venous connection
Liang Cao1, Jian-Guo Hu, Yi-Feng Yang
1Department of Cardiothoracic Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China. yjf19682005@yahoo.com.cn
Objective:
To summarize the surgical treatment of total anomalous pulmonary venous connection (TAPVC).
Methods:
We retrospectively analyzed 49 patients with TAPVC as follows: 37 patients with supra-cardiac type in which 35 received anastomoses between the rear wall of the left atrium and the common pulmonary vein and the other 2 received anastomoses between the rear edge of the left atrium roof and the common pulmonary vein; another 12 patients with cardiac type who were incised the upper edge of coronary sinus, connected the common junction of pulmonary veins with the left atrium to form a new left atrium, and repaired the atrial septal defect with a pericardial patch.
Results:
Forty-six patients recovered and 3 patients died. Thirty-eight patients were followed-up from 3 months to 8 years. The rest patients got fluent pulmonary vein drainage and their heart function resumed to NYHA I.
Conclusion:
TAPVC patients should be operated on immediately at definite diagnosis. The fluency of the common pulmonary vein-left atrium anastomoses and proper postoperative care can ensure a satisfactory outcome.
