Early and Intermediate-Term Results for the Combined Superior Approach Correction of Supracardiac Total Anomalous Pulmonary Venous Connection in Neonatal Patients

Sui, Runqian; Zi, Jian; Li, Decai; Li, Qingbao; Wang, Anbiao

doi:10.1016/j.hlc.2021.01.008

Cited by 1 publication

(1 citation statement)

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“…Patients with SAPVC have complex drainage sites and diverse drainage branches. If they are not actively treated, the opportunity for surgery will be missed, and may cause serious consequences, which brings challenges to clinical diagnosis and surgical decision-making [2][3]. Multilayer spiral computed tomography (MSCT) is the gold standard for the diagnosis of SAPVC [4], but it has the disadvantages of radiation and a high price, which makes it unsuitable for repeated examinations, especially for infants and young children.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic evaluation of supracardiac anomalous pulmonary venous connection in children: comparison with multilayer spiral CT

Zhao

Hu²,

Tuo³

et al. 2022

Int J Cardiovasc Imaging

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Objective To explore the clinical value of transthoracic echocardiography (TTE) in the differentiation of Supracardiac Anomalous Pulmonary Venous Connection (SAPVC) in children.Materials and methods A total of 118 children with concurrent TTE and CT databases of cases diagnosed with SAPVCs were included. We analyzed the consistency between the two for the ability to diagnose the classi cation of SAPVC, drainage sites, ectopic pulmonary veins and the segments of superior vena cava (SVC). ResultsThe consistency between TTE and CT in diagnosing the existence of SAPVC and the classi cation were 88.1% (95% CI: 80.9%-93.4%) and 91.0% (95% CI: 84.1%-95.6%), respectively. The error rate of partial type diagnosed by TTE was signi cantly higher than that of total and mixed type (20.5% vs. 2.8%, P=0.003). The consistency between TTE and CT to determine drainage sites was 91.9% (95% CI: 85.2%-96.2%). TTE had a signi cantly higher error rate in determining pulmonary vein drainage to the SVC than in those draining into the left innominate vein (17.5 vs. 2.5%, P=0.007). The consistency of TTE and CT in judging the number of veins was 87.4% (95% CI: 79.7%-92.9%). The error rate in determining the presence of 2 and 5 ectopic pulmonary veins was signi cantly higher than those of 1 and 4 veins (P<0.05). ConclusionTTE for diagnosing partial SAPVC and identifying the drainage site of SVC has a high error rate of misdiagnosis and missed diagnosis. The extra attention should be given to these factors in clinical practice to improve the accuracy of TTE in diagnosing SAPVC.

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Section: Introductionmentioning

confidence: 99%