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Outcomes of surgery for total anomalous pulmonary venous return without total circulatory arrest

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Author(s)
Youngok LeeJoon Yong ChoO Young KwonWoo Sung Jang
Keimyung Author(s)
Jang, Woo Sung
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery
Issued Date
2016
Volume
49
Issue
5
Keyword
Congenital heart disease (CHD)Total anomalous pulmonary venous returnTotal circulatory arrest
Abstract
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.
Keimyung Author(s)(Kor)
장우성
Publisher
School of Medicine
Citation
Youngok Lee et al. (2016). Outcomes of surgery for total anomalous pulmonary venous return without total circulatory arrest. Korean Journal of Thoracic and Cardiovascular Surgery, 49(5), 337–343. doi: 10.5090/kjtcs.2016.49.5.337
Type
Article
ISSN
2233-601X
DOI
10.5090/kjtcs.2016.49.5.337
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32512
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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