Correção cirúrgica de drenagem venosa pulmonar anômala total em adulto

Vicente, Walter Villela de Andrade; Silva, Paulo Savoia Dias da; Vicente, Luciana de Morais; Bassetto, Solange; Romano, Mina Moreira Dias; Ferreira, C. A. Q.; Dessote, Lycio Umeda; Manso, Paulo Henrique; Évora, Paulo Roberto Barbosa; Rodrigues, Alfredo José

doi:10.1590/s0066-782x2006001800021

Cited by 11 publications

(2 citation statements)

References 6 publications

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“…On an extensive search of the literature, there is limited data available regarding these patients who survive beyond infancy. The presence of large and non-restrictive ASD helps in the prevention of the development of pulmonary arterial hypertension which facilitates the survival of these patients beyond infancy [7][8][9][10]. The postoperative outcomes of these patients depend on the absence of post-repair pulmonary venous obstruction [11].…”

Section: Discussionmentioning

confidence: 99%

Supracardiac Total Anomalous Pulmonary Venous Connection in Adolescence

Mir,

Mohanty,

Pandey

et al. 2023

Cureus

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BackgroundSupracardiac total anomalous pulmonary communication (TAPVC) constitutes a rare congenital cardiac anomaly. Most babies with supracardiac TAPVC are diagnosed in infancy and undergo complete surgical repair during infancy. Delayed presentation of supracardiac TAPVC is rare, and the surgical outcomes are not well known. This retrospective study was conducted to determine the presentation and surgical outcome of supracardiac TAPVC among adolescents, which constitutes an extremely rare subgroup of TAPVC. MethodologyThis retrospective analysis was conducted among 15 adolescent patients with supracardiac TAPVC who underwent surgical repair in the cardiothoracic surgery department of a tertiary care center in India. This study aimed to assess the intraoperative, postoperative, immediate, early, and late outcomes of adolescent patients with supracardiac TAPVC who had undergone surgical repair between 2010 and 2014 in a tertiary care center in India. ResultsThe study included 15 patients with a diagnosis of isolated supracardiac TAPVC. A mild degree of cyanosis was present in eight patients, recurrent episodes of lower respiratory tract infections were present in five patients, and dyspnea (New York Heart Association I/II) was noted in 12 patients. Mean oxygen saturation was 92% (range = 85-93%), and mean pulmonary artery pressure was 24 mmHg (range = 15-50 mmHg). After median stenotomy, a wide anastomosis was made between the common pulmonary venous chamber and the posterior wall of the left atrium. A fenestration was made in the Dacron patch in three patients who had raised pulmonary vascular resistance (PVR) preoperatively. Twelve patients were weaned off cardiopulmonary bypass (CPB) with minimal inotropic support. Three patients who had high preoperative PVR had difficulty in weaning from CPB. The mean CPB and cross-clamp time was 75 ± 12 minutes and 58 ± 9 minutes, respectively. Atrial fibrillation was noted in five (33.3%) patients in the early postoperative period, and three (20%) patients had pulmonary artery hypertensive crises postoperatively. There was no superficial or deep sternal wound infection in the postoperative period. Mild and moderate right ventricular dysfunction was present in four (26.67%) and two (13.3%) patients, respectively, in the postoperative period. On two-dimensional echocardiography during follow-up at the end of one year, there was no gradient across the anastomosis, and pulmonary artery pressure was normal in all patients. ConclusionsSurgical repair of supracardiac TAPVC in adolescence has an excellent outcome. Survival of patients with supracardiac TAPVC until adolescence depends on the presence of a dilated vertical vein and a large atrial septal defect facilitating unobstructed pulmonary venous flow. The aim of the surgical repair should be to create a wide anastomosis between the left atrium and the pulmonary venous chamber which should be bigger than the size of the mitral valve orifice indexed to the body surface area as it would amount to no or negligible anastomotic gr...

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Section: Discussionmentioning

confidence: 99%

Supracardiac Total Anomalous Pulmonary Venous Connection in Adolescence

Mir,

Mohanty,

Pandey

et al. 2023

Cureus

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“…The mortality of which, when surgical repair is not performed, is estimated at 80% within the first year. 8 Few cases have been reported of a successful surgical correction in the second decade 8 and the sixth decade 7 but none in the Asian literature. The major factors that contributed to the long-term survival of our patient was the supra-cardiac type of TAPVD, unobstructed pulmonary venous drainage, a large inter-atrial communication, and maintenance of vascular resistance and pulmonary pressure closer to normal limits.…”

Section: Discussionmentioning

confidence: 99%

Successful Surgical Intervention of Total Anomalous Pulmonary Venous Drainage in the Third Decade of Life

Ashfaq

Shah

Khan

et al. 2013

Annals of Medicine &Amp; Surgery

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Total anomalous pulmonary venous drainage (TAPVD) accounts for approximately 1.5% of all congenital heart diseases. It is usually diagnosed in the neonatal period and is rarely seen in adults. We report an unusual case of a patient with TAPVD who was successfully treated at the age of 28 years. We believe that this is the oldest person in the South Asian literature to undergo surgical correction of TAPVD.

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Rare case of adult survival in infracardiac non-obstructive total anomalous pulmonary venous connection

Bohara

Taksande

et al. 2012

Journal of Indian College of Cardiology

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Inferior vena cava a b s t r a c tAdult survival in patients with uncorrected non-obstructive infracardiac total anomalous pulmonary venous drainage is very rare. We report 20 year female referred for evaluation of murmur diagnosed to have non-obstructive pulmonary venous drainage to the supradiaphragmatic inferior vena cava. To best of our knowledge, there has been no reported instance of an adult survival in non-obstructed infracardiac TAPVC.

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Correção cirúrgica de drenagem venosa pulmonar anômala total em adulto

Cited by 11 publications

References 6 publications

Supracardiac Total Anomalous Pulmonary Venous Connection in Adolescence

Supracardiac Total Anomalous Pulmonary Venous Connection in Adolescence

Successful Surgical Intervention of Total Anomalous Pulmonary Venous Drainage in the Third Decade of Life

Rare case of adult survival in infracardiac non-obstructive total anomalous pulmonary venous connection

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