Surgical experience of total anomalous pulmonary venous connection in adults / 中华胸心血管外科杂志
Yongtao WU; Dong WANG; Can JIN; Zhiyi WANG; Pei CHENG; Junwu SU; Xiangming FAN.
Chinese Journal of Thoracic and Cardiovascular Surgery
; (12): 673-675, 2021.
Artículo
en Zh
| WPRIM | ID: wpr-912345
Objective:
To explore the therapeutic strategy and result of adult total anomalous pulmonary venous connection(TAPVC).Methods:
From November 2011 to November 2019, 6 adult patients with TAPVC underwent surgical correction. The Darling types include 4 cases of supracardiac , 1 case of intracardiac and 1 case of mixed type. There were 1 male and 5 female. The mean age was(28.6±4.8) years old and the mean weight was(47.3±3.67) kg. Preoperative oxygen saturation was 0.91±0.05.Results:
All patients underwent primary repair successfully without perioperative death and complications. The average cardiopulmonary bypass time was(122.0±35.9) min, and the aortic cross-clamp time was(78.2±20.4) min. The mean postoperative hospitalization was(9.7±2.9) days, and the mean intensive care unit time was(3.5±1.4) days.The mean mechanical ventilation was(17.1±2.9) h. There were no later left heart dysfunction and pulmonary vein obstruction during the follow-up of 6-100 months.no pulmonary artery hypertension was identifed.Conclusion:
TAPVC can be repaired savely in adult and satisfied result can be anticipated.
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