Hernández-López JJ, Bolio-Cerdán A, Alcántara-Noguez C, Romero-Cárdenas P, Ruiz-González S, Gutiérrez-Camarena O, Godoy-Rábago G

Language: Spanish
References: 7
Page: 98-102
PDF size: 125.67 Kb.

ABSTRACT

Total anomalous pulmonary venous connection is a congenital heart disease in which there is no direct connection between any pulmonary vein and the left atrium. Its incidence is 1% to 3% of all congenital heart diseases, being an isolated anomaly in 67% of cases. Definitive treatment is compounded by surgical correction of the anomalous connection of the pulmonary veins and redirecting the flow to the left atrium. The aim of this study is to identify the outcome after correction.
Material. From April 9, 1964 to February 28, 2018, at the Hospital Infantil de México "Federico Gómez", 733 cases of CVPAT were operated on. A descriptive analysis of the series was made. The results were analyzed for decades.
Results. Of the 733 patients, the supracardiac variety corresponded to 340 cases (46.3%), intracardiac (to coronary sinus) 289 patients (39.4%), infracardiacal 53 (7.2%), and mixed 51 (6.9%). Mortality decreased gradually. From 1964 to 1974 it was 25%. From 1975 to 1985 there is no report. From 1986 to 1996, without report. From 1997 to 2007, 8.3%. And from 2008 to 2018, 3.35%. Preoperative pulmonary venous obstruction remains a poor prognostic factor for mortality and reoperation.
Conclusions. Although venous obstruction remains as an important late complication, despite the surgical technique, our surgical results have definitely improved substantially over time, thus decreasing mortality.

REFERENCES

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