Anomalous Pulmonary Venous Connections and Congenital Defects of the Atria, the Atrioventricular Septum, and the Atrioventricular Valves

Highlights. The geometry of the left atrium and the growth of the left heart after correction of total anomalous pulmonary venous connection are evaluated for the first time.Aim. To assess the morphological and functional characteristics of the left heart after correction of total anomalous pulmonary venous connection.Methods. 40 patients referred to the correction of total anomalous pulmonary venous connection were enrolled in a pilot, two-center, simple, blind, prospective randomized study. Patients were assigned to the sutureless repair group (n = 20) and conventional repair group (n = 20).Results. In the early postoperative period, the indexed left atrial volume in the group of sutureless repair was 15 (13.65; 17.25) versus 12.85 (10.95; 15.15) in the group of conventional repair, p = 0.057. The end diastolic volume index in the sutureless repair group was 38 (28.5; 45), while in the conventional repair group - 37.1 (31; 47.75), p = 0.48. At the follow-up, the indexed left atrial volume in the group of sutureless repair was 37 (34.5; 38.9) versus 31 (23.6; 35) in the group of conventional repair, p = 0.01. The end diastolic volume index (EDVI) in the group of sutureless repair was 50 (43; 57), while in the group of conventional repair - 50.2 (28.8; 60.9), p = 0.49.Conclusion. The growth of the left atrium depended on the chosen technique for correcting total anomalous pulmonary venous connection and was higher in the group of sutureless repair (37) compared to the group of conventional repair (31). The proportionality of the growth of the left ventricle did not depend on the surgical technique and was equivalent in both groups.

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Anomalous Pulmonary Venous Connections and Congenital Defects of the Atria, the Atrioventricular Septum, and the Atrioventricular Valves

Cited by 2 publications

References 411 publications

Current trends in the diagnosis and treatment of total anomalous pulmonary venous connection

Current trends in the diagnosis and treatment of total anomalous pulmonary venous connection

Early-term surgical outcomes after correction of total anomalous pulmonary venous connection

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