Surgical Outcomes of Total Anomalous Pulmonary Venous Connection Repair

被引:3
|
作者
Jaworski, Radoslaw [1 ]
Kansy, Andrzej [2 ]
Friedman-Gruszczynska, Joanna [2 ]
Bieganowska, Katarzyna [3 ]
Mirkowicz-Malek, Malgorzata [2 ]
机构
[1] Med Univ Gdansk, Fac Med, Dept Anesthesiol & Intens Care, PL-80214 Gdansk, Poland
[2] Childrens Mem Hlth Inst, Dept Cardiothorac Surg, PL-04736 Warsaw, Poland
[3] Childrens Mem Hlth Inst, Dept Cardiol, PL-04736 Warsaw, Poland
来源
MEDICINA-LITHUANIA | 2022年 / 58卷 / 05期
关键词
TAPVC; total anomalous pulmonary venous connection; pediatric cardiac surgery; congenital heart disease; MANAGEMENT; DIAGNOSIS; DRAINAGE; STENOSIS; COHORT; HEART;
D O I
10.3390/medicina58050687
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Over the years, surgical repair of total anomalous pulmonary venous connection (TAPVC) outcomes have improved, however, morbidity and mortality still remain significant. This study aims to assess the early and long-term outcomes of surgical treatment of TAPVC children, operated on between 2006 and 2016, in one pediatric center in Poland. Materials and Methods: Diagnostics, surgical treatment, and follow-up data from 83 patients were collected. In addition, survival and risk factor analyses, control echocardiographic, and electrocardiographic examinations were performed. Results: In the analyzed group (n = 83), there were seven hospital deaths (within 30 days after the operation) (8.4%) and nine late deaths (10.8%). The mean follow-up time was 5.5 years, and, for patients who survived, it was 7.1 years. The mean survival time in patients with completed follow-up (n = 70) was 10.3 years; the overall five-year survival rate was 78.4%. Independent mortality risk factors were type I TAPVC, single ventricle physiology, time from admission to operation, intensive care unit stay, postoperative hospital stay, and temporary kidney insufficiency requiring dialysis. Conclusions: The presence of single ventricle physiology and the supracardiac subtype of TAPVC might be negative prognostic factors, while normal heart physiology presents with good post-repair results. This study indicates that cardiac arrhythmias may occur. Morbidity and mortality, related to surgical TAPVC correction, still remain significant.
引用
收藏
页数:11
相关论文
共 50 条
  • [31] Transcatheter closure of patent vertical vein after repair of total anomalous pulmonary venous connection: a case series
    Gumustas, Mehmet
    Donmez, Yasemin N.
    Aykan, Hayrettin H.
    Demircin, Metin
    Karagoz, Tevfik
    CARDIOLOGY IN THE YOUNG, 2021, 31 (11) : 1853 - 1857
  • [32] Reintervention and mortality risk after total anomalous pulmonary venous connection repair
    Beers, Kevin M.
    Jacobsen, Christian P.
    Miller, Stewart R.
    Lehenbauer, David G.
    Maldonado, Elaine
    Husain, S. Adil
    Calhoon, John H.
    CARDIOLOGY IN THE YOUNG, 2023, 33 (11) : 2228 - 2235
  • [33] Total anomalous pulmonary venous connection: impact of prenatal diagnosis
    Seale, A. N.
    Carvalho, J. S.
    Gardiner, H. M.
    Mellander, M.
    Roughton, M.
    Simpson, J.
    Tometzki, A.
    Uzun, O.
    Webber, S. A.
    Daubeney, P. E. F.
    ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2012, 40 (03) : 310 - 318
  • [34] Factors associated with early postoperative mortality after total anomalous pulmonary venous connection repair: A retrospective cohort study
    Nahle, Ali Alakbar
    Hamdar, Hussein
    Soqia, Jameel
    Diab, Mohamad
    Ataya, Jamal
    Al-Dairy, Alwaleed
    MEDICINE, 2024, 103 (21) : E38285
  • [35] Is Sutureless Technique Beneficial in the Primary Repair of Total Anomalous Pulmonary Venous Connection? A Systematic Review and Meta-Analysis
    Wu, Yuhao
    Xin, Liangjing
    Zhou, Yuehang
    Kuang, Hongyu
    Jin, Xin
    Li, Yonggang
    Wu, Chun
    PEDIATRIC CARDIOLOGY, 2019, 40 (05) : 881 - 891
  • [36] Atrial thrombus after total anomalous pulmonary venous connection repair
    Ebuoka, Noriyoshi
    Asai, Hidetsugu
    Kimura, Sachiko
    Tachibana, Tsuyoshi
    ASIAN CARDIOVASCULAR & THORACIC ANNALS, 2024, 32 (05) : 314 - 316
  • [37] Outcome after surgical repair of partial anomalous pulmonary venous connection
    Waqar, Tariq
    Ansari, Zubair Ahmad
    Baig, Mirza Ahmad Raza
    PAKISTAN JOURNAL OF MEDICAL SCIENCES, 2016, 32 (06) : 1386 - 1389
  • [38] Intra-atrial repair for total anomalous pulmonary venous connection
    An, Yong
    Wu, Chun
    Pan, Zheng-Xia
    Lei, Han
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2011, 40 (03) : 764 - 766
  • [39] Risk factors for postoperative pulmonary venous obstruction after surgical repair of total anomalous pulmonary venous connection: a systemic review and meta-analysis
    Zhang, Han
    Shi, Guocheng
    Chen, Huiwen
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2022, 35 (02)
  • [40] Sutureless Technique for Primary Total Anomalous Pulmonary Venous Connection Repair: An Updated Meta-Analysis
    Zhao, Lu
    Pan, Zhengxia
    Wu, Chun
    Shen, Lianju
    Wu, Yuhao
    FRONTIERS IN CARDIOVASCULAR MEDICINE, 2022, 9