Outcomes of Surgery for Total Anomalous Pulmonary Venous Return without Total Circulatory Arrest
| Title: | Outcomes of Surgery for Total Anomalous Pulmonary Venous Return without Total Circulatory Arrest |
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| Authors: | Youngok Lee, Joon Yong Cho, O Young Kwon, Woo Sung Jang |
| Source: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 49, Iss 5, Pp 337-343 (2016) |
| Publisher Information: | Korean Society for Thoracic and Cardiovascular Surgery, 2016. |
| Publication Year: | 2016 |
| Collection: | LCC:Surgery |
| Subject Terms: | Congenital heart disease (CHD), Total anomalous pulmonary venous return, Total circulatory arrest, Surgery, RD1-811 |
| More Details: | Background: Recent developments in surgical techniques and hospital care have led to improved outcomes following total anomalous pulmonary venous return (TAPVR) repair. However, the surgical repair of TAPVR remains associated with a high risk of mortality and need for reoperation. We conducted this retrospective study to evaluate mid-term outcomes following in situ TAPVR repair without total circulatory arrest (TCA), and to identify the risk factors associated with surgical outcomes. Methods: We retrospectively reviewed 29 cases of surgical intervention for TAPVR conducted between April 2000 and July 2015. All patients were newborns or infants who underwent in situ TAPVR repair without TCA. Results: Four anatomic subtypes of TAPVR were included in this study: supracardiac (20 cases, 69.0%), cardiac (4 cases, 13.8%), infracardiac (4 cases, 13.8%), and mixed (1 case, 3.4%). The median follow-up period for all patients was 42.9 months. Two (6.9%) early mortalities occurred, as well as 2 (6.9%) cases of postoperative pulmonary venous obstruction (PVO). Preoperative ventilator care (p=0.027) and preoperative PVO (p=0.002) were found to be independent risk factors for mortality. Conclusion: In situ repair of TAPVR without TCA was associated with encouraging mid-term outcomes. Preoperative ventilator care and preoperative PVO were found to be independent risk factors for mortality associated with TAPVR repair. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English Korean |
| ISSN: | 2233-601X 2093-6516 |
| Relation: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2016.49.5.337; https://doaj.org/toc/2233-601X; https://doaj.org/toc/2093-6516 |
| DOI: | 10.5090/kjtcs.2016.49.5.337 |
| Access URL: | https://doaj.org/article/7bc0fca455ed4d7f98ddb4db6cd160f4 |
| Accession Number: | edsdoj.7bc0fca455ed4d7f98ddb4db6cd160f4 |
| Database: | Directory of Open Access Journals |
| ISSN: | 2233601X 20936516 |
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| DOI: | 10.5090/kjtcs.2016.49.5.337 |
| Published in: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Language: | English Korean |