Total anomalous pulmonary venous connection: Outcome of postoperative pulmonary venous obstruction

Seale, Anna; Uemura, Hiroji; Webber, Steven A.; Partridge, Jason; Roughton, Michael; Ho, Siew Yen; McCarthy, Karen; Jones, Sheila; Shaughnessy, Lynda; Sunnegårdh, Jan; Hanséus, Katarina; Berggren, Håkan; Johansson, Sören; Rigby, Michael L.; Keeton, Barry R.; Daubeney, Piers E.F.

doi:10.1016/j.jtcvs.2012.06.031

Cited by 81 publications

(63 citation statements)

References 25 publications

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“…Most patients who had a PVO in the SR group had a central obstruction, which is consistent with other series [14,15]. The proposed mechanisms of central PVO included a direct pursestring effect from the suture line, an inflammatory response, and fibrosis of the PV tissue [6,14].…”

Section: Mode Of Pulmonary Venous Obstruction: Standard Versus Suturesupporting

confidence: 85%

“…The reoperation rate appeared to be slightly lower than other recent large series, which reported approximately 11% reoperation rates [14,15], although those studies included patients with atrial isomerism and single-ventricle anatomy. The reoperations used were fibrous tissue resection and SL repair, depending on the lesions, with comparable survival.…”

Section: Reoperationcontrasting

confidence: 70%

“…The proposed mechanisms of central PVO included a direct pursestring effect from the suture line, an inflammatory response, and fibrosis of the PV tissue [6,14]. The cross-sectional image analysis also demonstrated that approximately 40% of the affected PVs in the SR group had diffuse PVO.…”

Section: Mode Of Pulmonary Venous Obstruction: Standard Versus Suturementioning

confidence: 91%

See 2 more Smart Citations

Repair Type Influences Mode of Pulmonary Vein Stenosis in Total Anomalous Pulmonary Venous Drainage

Rito

Gazzaz

Wilder

et al. 2015

The Annals of Thoracic Surgery

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Section: Mode Of Pulmonary Venous Obstruction: Standard Versus Suturesupporting

confidence: 85%

Section: Reoperationcontrasting

confidence: 70%

See 1 more Smart Citation

Repair Type Influences Mode of Pulmonary Vein Stenosis in Total Anomalous Pulmonary Venous Drainage

Rito

Gazzaz

Wilder

et al. 2015

The Annals of Thoracic Surgery

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“…Right isomerism has been recognized as one of the worst forms of CHD, with an overall 5-year survival ranging from 30 to 74%. Survival rates are higher for left isomerism, with 5-year survival rates ranging between 65 and 84% [11]. We had a hospital mortality of 4.7%, with a postdischarge mortality of 11.9% over a follow-up of 13-111 months.…”

Section: Discussionmentioning

confidence: 99%

Early- and Middle-Term Surgical Outcomes in Patients with Heterotaxy Syndrome

Chen

Ma²,

Cui³

et al. 2015

Cardiology

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Objectives: Heterotaxy syndrome is a recognized risk factor for surgical cardiac interventions. We evaluated the early- and middle-term results of a surgical intervention for patients with heterotaxy syndrome. Methods: A total of 42 patients with heterotaxy syndrome were enrolled (September 2008 to March 2015). Left and right atrial isomerism were identified in 26% (11 out of 42) and 74% of patients (31 out of 42), respectively. The median age of the patients at the time of surgery was 6.8 months (range: 5 days to 22.3 years). Biventricular repair was completed in 3 patients with left atrial isomerism. Seventeen out of 39 patients who were scheduled for single ventricular repair completed a modified Fontan procedure. Results: The hospital mortality rate was 4.7% (2 out of 42). Another 5 deaths occurred in the remaining survivors following hospital discharge with a follow-up duration of 45.8 ± 23.6 months (range: 13-111 months). The 1-year and 5-year survival rates were 88.1% (37/42) and 83.3% (35/42), respectively. Univariate analysis and multivariate analysis identified pulmonary venous obstruction and atrioventricular valve replacement as additional risk factors for mortality. Conclusions: Right ventricular bypass surgery remains the preferred palliative procedure for patients with heterotaxy syndrome. Based on the current results, the early- and middle-term outcomes are satisfactory.

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“…Unfortunately, surgical repair of TAPVC is associated with high mortality and morbidity, especially for patients with pulmonary venous obstruction (PVO) [1][2][3][4] . The risk of progressive postoperative PVO remains significant 5 ; it can occur in 5% to 15% of cases after repair of TAPVC, and it is particularly prevalent with young age at initial surgery, infracardiac type, and preexisting PVO 1,[5][6][7][8] .…”

Section: Ultramini Abstractmentioning

confidence: 99%

Comparison of Sutureless and Conventional Techniques to Repair Total Anomalous Pulmonary Venous Connection

Zhang

Zhuang

et al. 2016

Seminars in Thoracic and Cardiovascular Surgery

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Total anomalous pulmonary venous connection: Outcome of postoperative pulmonary venous obstruction

Abstract: Postoperative PVO tends to appear in the first 6 months after TAPVC repair and can be progressive. Early intervention for PVO may be indicated before irreversible secondary changes occur.

Cited by 81 publications

References 25 publications

Repair Type Influences Mode of Pulmonary Vein Stenosis in Total Anomalous Pulmonary Venous Drainage

Repair Type Influences Mode of Pulmonary Vein Stenosis in Total Anomalous Pulmonary Venous Drainage

Early- and Middle-Term Surgical Outcomes in Patients with Heterotaxy Syndrome

Comparison of Sutureless and Conventional Techniques to Repair Total Anomalous Pulmonary Venous Connection

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