Surgical management of total anomalous pulmonary venous drainage: impact of coexisting cardiac anomalies

Caldarone, Christopher A.; Najm, Hani K.; Kadletz, Margit; Smallhorn, Jeffrey F.; Freedom, Robert M.; Williams, William G.; Coles, John G.

doi:10.1016/s0003-4975(98)00951-5

Cited by 81 publications

(75 citation statements)

References 15 publications

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“…Diagnostic images (image quality scores, ≥3) were obtained in all the acquisitions (100%). The mean imagequality score was 4.2 ± 0.8 (range, [3][4][5]. The average attenuation in both the ascending aorta and pulmonary trunk was 442 ± 118 and 440 ± 115 HU, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Total Anomalous Pulmonary Venous Connection in Children: Preoperative Evaluation with Low-Dose Multidetector Computed Tomographic Angiography

Türkvatan¹,

Tola²,

Ayyıldız³

et al. 2017

Texas Heart Institute Journal

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We report the results of our retrospective evaluation, from February 2011 through August 2014, of the anatomic features of total anomalous pulmonary venous connection (TAPVC) and its associated cardiovascular anomalies in a pediatric population. In all 43 patients under study (23 female; average age, 9 mo [range, 4 d-7 T otal anomalous pulmonary venous connection (TAPVC) constitutes approximately 1% to 3% of all cardiovascular abnormalities in which the pulmonary veins (PVs) have no connection with the left atrium and connect directly to the right atrium or to one or more systemic veins. 1 Embryologically, TAPVC results from early atresia or failure of the common PV to develop, with persistence of at least one connection to the cardinal or the umbilical vitelline venous system. 2 Total anomalous pulmonary venous connection is a cause of neonatal cyanosis and can result in rapid death when blood is not shunted from the right side of the heart to the left side. Isolated TAPVC is diagnosed if the patient has atrial septal defect (ASD), patent ductus arteriosus (PDA), or both; complex TAPVC is diagnosed if the patient has other intracardiac lesions in addition to ASD or PDA. Although TAPVC is usually isolated, it can be a component of a complex cardiovascular disease such as heterotaxy syndrome. 3 Accurate delineation of TAPVC and the cardiovascular anomalies that accompany it are important to the guidance of surgical planning in these patients.Although TAPVCs have usually been evaluated with use of echocardiography and catheter angiography, magnetic resonance imaging (MRI) and multidetector computed tomographic angiography (MDCTA) are now playing larger roles in the diagnosis of these anomalies. 4 These imaging methods help overcome the shortcomings of transthoracic echocardiography (TTE), which gives a suboptimal acoustic window and a poor depiction of extracardiac vascular structures. They are also an improvement over catheter angiography, which produces overlapping views of adjacent vascular structures, causes difficulty in the simultaneous depiction of the systemic and pulmonary vascular systems, leads to undesirable catheter-related sequelae, and delivers relatively high doses of ionizing radiation. 5 Even though MRI is eminently

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Section: Resultsmentioning

confidence: 99%

“…Although TAPVC is usually isolated, it can be a component of a complex cardiovascular disease such as heterotaxy syndrome. 3 Accurate delineation of TAPVC and the cardiovascular anomalies that accompany it are important to the guidance of surgical planning in these patients.…”

mentioning

confidence: 99%

Total Anomalous Pulmonary Venous Connection in Children: Preoperative Evaluation with Low-Dose Multidetector Computed Tomographic Angiography

Türkvatan¹,

Tola²,

Ayyıldız³

et al. 2017

Texas Heart Institute Journal

View full text Add to dashboard Cite

show abstract

“…In atrial isomerism, the long-term prognosis must be much more guarded and is dictated by the associated complex cardiac and extracardiac lesions. Several small series report long-term survival of less than 40% in this group of patients, with survival of 5-13% in the subgroup who require neonatal surgical intervention (Hashmi et al, 1998;Sadiq et al, 1996;Caldarone et al, 1998). Whereas operative mortality for ''simple'' TAPVC has improved over the years, the group of patients with isomerism (or other complex associated lesions) has remained poor.…”

Section: Heterotaxymentioning

confidence: 99%

“…TAPVR is most often an isolated lesion, but can be accompanied by other complex congenital heart defects and is frequently associated with asplenia-polysplenia syndrome (heterotaxy syndrome) with a univentricular heart (Sadiq et al, 1996;Caldarone et al, 1998). Diagnosis is established by two-dimensional echocardiography and colour Doppler (Sahn et al, 1979;Smallhorn et al, 1981).…”

Section: Diagnosismentioning

confidence: 99%