Rivera LKM, Naranjo UAM, Selman-Housein SE, Frias GF, Seijas CJA

Language: Spanish
References: 13
Page: 21-24
PDF size: 78.85 Kb.

ABSTRACT

Introduction Total Anomalous Pulmonary Venous Connection appears in 1 % to 3 % of patients with congenital heart disease, as an isolated anomaly in 67 %. This study shows our surgical repair results and its relationship with venous connection type, during 24 years.
Method A descriptive study was conducted with transversal cut, which included those patients operated on complete anomalous drainage of pulmonary veins in the period from august -1986 through august- 2010. Variables studied were: type of total anomalous pulmonary venous connection, age, surgical technique, closure of vertical vein, surgical complications and mortality.
Result A 120 patients were underwent repair of TAPVC, 53 with supracardiac type, and 14 infracardiac type. Mortality was higher in newborn and infants and patients with infracardiac type. Mortality was 26,6 %.
Conclusions The total anomalous pulmonary venous drainage is today a challenge for surgery in the first year of life.

REFERENCES

1. Kirshbom PM, Myung RJ, Gaynor JW, Ittenbach RF, Paridon SM, DeCampli WM, et al. Preoperative pulmonary venous obstruction affects long term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg. 2002;74:1616-20.

2. Karamlou T, Gurofsky R, Al Sukhni E, Coles JG, Williams WG, Caldarone CA, et al. Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation. 2007;115:1591-8.

3. Delisle G, Ando M, Calder A, Zuberbuhler J, Rochenmacher S, Alday L, et al. Total anomalous pulmonary venous connection: Report of 93 autopsied cases with emphasis on diagnostic and surgical considerations. Am Heart J. 1976;91:99-122.

4. Darling RC, Rothney WB, Craig JM. Total pulmonary drainage into the right side of the heart. Lab Invest. 1957;6:44-64.

5. Yun TJ, Coles JG, Konstantinov IE, Al-Radi OO, Wald RM, Guerra V, et al. Conventional and sutureless techniques for management of the pulmonary veins, evolution of indications from post repair pulmonary vein stenosis to primary pulmonary vein anomalies. J Thorac Cardiovasc Surg. 2005;129:167-74.

6. Venugopalan P, Nair M, Joy J. Total anomalous pulmonary venous drainage: mixed type. J Trop Pediatr. 2000;46:114-16.

7. Naranjo AM, González A, Marcano L, Selman-Housein S. Drenaje anómalo total de venas pulmonares, nuestra experiencia. Rev Cubana Pediatr. 2002;74(3):208-12. [Internet][Revisado 7 marzo 2012]; Disponible en: http://scielo.sld.cu/pdf/ped/v74n3/ped043202.pdf

8. Raisher B, Grant J, Martin T, Strauss A, Spray T. Complete repair of total anomalous pulmonary venous connection in infancy. J Thorac Cardiovasc Surg. 1992;104:443-48.

9. Dimpna A, José G, Cristina B, Joan B, Jaime C, Luis M, et al. Retorno venoso pulmonar total anómalo en pediatría: importancia del diagnóstico ecocardiográfico y de la cirugía precoz. Rev Esp Cardiol. 2000;53:810-4.

10. Kirshbom PM, Myung RJ, Gaynor JW, Ittenbach RF, Paridon SM, De Campli WM, et al. Preoperative pulmonary venous obstruction affects long term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg. 2002; 74:1616-20.

11. Hancock CL, Zurakowski D, Thiagarajan RR, Forbess JM, del Nido PJ, Mayer JE, et al. Total anomalous pulmonary venous connection: an analysis of current management strategies in a single institution. Ann Thorac Surg. 2005;79:596-606.

12. Chowdhury UK, Subramaniam KG, Joshi K, Varshney S, Kumar G, Singh R, et al. Rechanneling of total anomalous pulmonary venous connection with or without vertical vein ligation: Results and guidelines for candidate selection. J Thorac Cardiovasc Surg. 2007;133:1286-94.

13. Husain A, Maldonado E, Rasch Debbie, Michalek J, Taylor R, Curzon C, et al. Total Anomalous Pulmonary Venous Connection: Factors Associates With Mortality and Recurrent Pulmonar Venous Obstruction. Ann Thorac Surg. 2012;94:825-32.