Abstract
ABSTRACT
Objectives: This study evaluates the results of applying primary sutureless
technique in surgical repair of total anomalous pulmonary venous connection at
Children Heart Center, Vietnam National Children’s Hospital.
Methods: A retrospective study was conducted to evaluate the short-term outcomes
of primary sutureless repair for all patients diagnosed with obstructed total anomalous
venous connection (TAPVC) from July 2015 to December 2016.
Results: There were 25 patients undergoing primary sutureless repair during the
study period. The mean age and the mean weight are 77.00 ± 23.26 days and 3.93
± 1.16 kg, respectively. There were 19/25 (76%) cases with preoperative respiratory
failure with 14 cases (56%) requiring mechanical ventilation before surgery, of which
9 patients (36%) had life-threatening acute pulmonary edema from before emergency
surgical repair. There were 17 cases admitted to the hospital with cardiogenic shock.
Evaluation of transthoracic echocardiography showed 15 cases of supracardiac
TAPVC, 5 cases of infracardiac TAPVC, 2 cases of intracardiac, 2 cases of mixed,
and 1 case of partial TAPVC. The mean aortic cross-clamp time was 65.40 ± 23.34
minutes, the average cardiopulmonary bypass time was 119.72 ± 34.85 minutes,
the mean surgery time was 200.04 ± 39.42 minutes. 9 cases underwent circulatory
arrest and 7 cases underwent low-flow bypass during surgery. 3 patients died in the
postoperative period, of which 2 from septic shock and multi-organ failure, 1 patient
from respiratory failure after extubation due to laryngomalacia. The reoperation rate
was 2/25 as a consequence of recurrent pulmonary vein stenosis.
Conclusions: The primary sutureless repair for obstructed anomalous
pulmonary venous connection is safe and favorable. Long-term outcomes follow-up
are essentially required.
References
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| Published | 19-02-2022 | |
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| Issue | No. 78 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.78.1 | |
| Keywords | obstructed total anomalous venous connection, primary sutureless repair, outcomes obstructed total anomalous venous connection, primary sutureless repair, outcomes |
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