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Outcomes of Surgery for Total Anomalous Pulmonary Venous Return without Total Circulatory Arrest
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 337-343, 2016.
Artigo em Inglês | WPRIM | ID: wpr-161811
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.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Reoperação / Síndrome de Cimitarra / Ventiladores Mecânicos / Estudos Retrospectivos / Fatores de Risco / Seguimentos / Mortalidade Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Humanos / Lactente / Recém-Nascido Idioma: Inglês Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2016 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Reoperação / Síndrome de Cimitarra / Ventiladores Mecânicos / Estudos Retrospectivos / Fatores de Risco / Seguimentos / Mortalidade Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Humanos / Lactente / Recém-Nascido Idioma: Inglês Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Ano de publicação: 2016 Tipo de documento: Artigo