Total Anomalous Pulmonary Venous Connection

Vanderlaan, Rachel D.; Caldarone, Christopher A.

doi:10.1002/9781119282327.ch35

Cited by 1 publication

(2 citation statements)

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“…The common pulmonary venous chamber was exposed using various techniques. [3][4][5][6] In the transverse biatrial approach as described by Shumaker and King, the right atrium, interatrial septum, and posterior wall of the left atrium were opened transversely in the same plane to expose the posterior pericardium. After opening the pulmonary venous chamber, it was anastomosed to the incised posterior wall of the left atrium.…”

Section: Methodsmentioning

confidence: 99%

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Total Anomalous Pulmonary Venous Connection in Adults: Should We Offer Surgery?

Bagaria,

Lahari,

Jagannath

et al. 2024

World J Pediatr Congenit Heart Surg

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Background: We aim to determine the surgical outcomes of adult patients with total anomalous pulmonary venous connection (TAPVC) and examine the regression of pulmonary artery (PA) pressures after the procedure. Methods: We reviewed the hospital records from 2003 to 2022 and identified 49 adult patients with TAPVC. We assessed their surgical outcomes and the trend of PA pressures after the procedure. Continuous data are presented as mean ± SD or median (interquartile range) and categorical variables are presented as percentages. Results: The median age of the patients was 23 years (range 18-42) and 31 (63.3%) were male. Thirty-six patients (73.5%) had supracardiac TAPVC. The mean systolic PA pressure was 65.8 ± 16.4 mm Hg and it decreased by 47.9% (34%, 61.8%) after surgery. Moderate or more tricuspid regurgitation was seen in 27 (55.1%) patients before surgery; however, it was present in only 3 (6.1%) patients during early follow-up. There was no intraoperative or 30-day mortality, and the median hospital length of stay was six days. Long-term follow-up data were available for 29 patients with the average duration of follow-up being 5.6 years (range 6 months to 15 years) and the mean systolic PA pressures of this cohort was 29.8±7.9 mm Hg. Forty-six (93.1%) patients were asymptomatic; four women had uneventful pregnancies and delivered healthy children. Conclusion: Surgical repair of the naturally selected group of adult TAPVC patients can be performed safely with good results. Regression in flow-related pulmonary hypertension and an improvement in functional quality of life are seen in nearly all patients.

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Section: Methodsmentioning

confidence: 99%

“…In Tucker's superior approach, the common chamber was approached in the area between the superior vena cava and ascending aorta. [3][4][5][6] Patients with a cardiac TAPVC underwent either a coronary sinus cut back or intra-atrial baffling. 7 Both intracardiac baffling and extracardiac anastomosis were used for mixed TAPVC.…”

Section: Methodsmentioning

confidence: 99%