Repair of total anomalous pulmonary venous connection in neonates

被引：3

作者：

Warrier G. ^{[1
]}

Dharan B.S. ^{[1
]}

Koshy S. ^{[1
]}

Kumar S. ^{[1
]}

Krishnanaik S. ^{[1
]}

Rao S.G. ^{[1
]}

机构：

[1] Division of Pediatric and Congenital Heart Surgery, Department of Cardiovascular and Thoracic Surgery, Amrita Institute of Medical Sciences, 682026, Kerala Kochi, Amrita Lane, Elamakkare, PO, Kochi

来源：

Indian Journal of Thoracic and Cardiovascular Surgery | 2004年 / 20卷 / 4期

关键词：

Pulmonary artery; Pulmonary hypertension; Total anomalous pulmonary venous connection;

D O I：

10.1007/s12055-004-0074-z

中图分类号：

学科分类号：

摘要：

Aim: To study the results of repair of Total Anomalous Pulmonary Venous Connection (TAPVC) in neonatesMaterials and Methods: Retrospective study of 27 neonates operated for TAPVC between January 2001 and October 2003. 27 neonates underwent TAPVC repair during the 2-year period. 21 were males and 6 were females. Results: Total hospital stay ranged from 10 days to 75 days. 9 supracardiac, 13 infracardiac, 3 cardiac and 2 mixed type comprised the group. Obstruction was seen in 24 patients. All the patients had severe pulmonary artery hypertension. Vertical vein was ligated in almost all cases either at the time of surgery or during the closure of sternum. Delayed sternum was closed in all cases but 7. Of 3 deaths, one died after permanent pacemaker implantation (about 1 month after the initial surgery of repair of cardiac TAPVC), one died due to pre-operative vascular access related accident and a third died due to post-operative low cardiac output. All survivors were thriving well at last follow-up. Conclusion: Repair of TAPVC in the neonatal age has been found to be rewarding with significant improvement in the well being of the child. Judicious use of pulmonary vasodilators like nitric oxide, Sildenafil and phenoxybenzamine and delayed sternal closure has improved the results in this study group. © 2004 Indian Association of Cardiovascular-Thoracic Surgeons.

引用

页码：155 / 158

页数：3

共 19 条

[1]

Bando K., Turrentine M.W., Ensing G.J., Et al., Surgical management of total anomalous pulmonary venous connection: thirty-year trends, Circulation, 94, SUPPL. II, pp. 12-16, (1996)

[2]

Lupinetti F.M., Kulik T.J., Beekman R.H., Crowley D.C., Bove E.L., Correction of total anomalous pulmonary venous connection in infancy, J Thorac Cardiovasc Surg, 106, pp. 880-885, (1993)

[3]

Raisher B.D., Grant J.W., Martin T.C., Strauss A.W., Spray T.L., Complete repair of total anomalous pulmonary venous connection in infancy, J Thorac Cardiovasc Surg, 104, pp. 443-448, (1992)

[4]

Cobanoglu A., Menashe V.D., Total anomalous pulmonary venous connection in neonates and young infants: repair in the current era, Ann Thorac Surg, 55, pp. 43-48, (1993)

[5]

Yee E.S., Turley K., Hsich W.R., Ebert P.A., Infant total anomalous pulmonary venous connection: factors influencing timing of presentation and operative outcome, Circulation, 76, SUPPL., pp. 83-87, (1987)

[6]

Sono S., Brawn W.J., Mee R.B.B., Total anomalous pulmonary venous drainage, J Thorac Cardiovasc Surg, 97, pp. 886-892, (1989)

[7]

Shivaprakash K., Swaminathan T.R., Rao S.G., Soma G., Pannu H.S., Dubey S., Murthy K.S., Haridas K.K., Rajan S., Cherian K.M., Surgical experience of total anomalous pulmonary venous connection with mid-term follow-up in a developing country, J Cardiovasc Surg, 37, pp. 483-489, (1996)

[8]

Choudhary S.K., Bhan A., Sharma R., Airan B., Devagourou V., Saxena A., Kothari S.S., Venugopal P., Total anomalous pulmonary venous connection: surgical experience in Indians, Indian Heart J, 53, pp. 754-760, (2001)

[9]

Choudhary S.K., Bhan A., Sharma R., Mathur A., Airan B., Saxena A., Kothari S.S., Juneja A., Venugopal P., Repair of total anomalous pulmonary venous connection in infancy: Experience from a developing country, Ann Thorac Surg, 68, pp. 155-159, (1999)

[10]

Feigenbaum H., Echocardiography, pp. 158-160, (1994)

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