Surgical treatment of total anomalous pulmonary venous connection under 6 months of age

• Published in: Chung-hua wai kʿo tsa chih Vol. 54; no. 4; p. 276
• Main Authors: Cui, Hujun, Chen, Xinxin, Ma, Li, Xia, Yuansheng, Yang, Shengchun, Zou, Minghui, Chen, Weidan
• Format: Journal Article
• Language: Chinese
• Published: China 01.04.2016
• Subjects: Aortic Coarctation; Body Weight; Cardiac Surgical Procedures - methods; Circulatory Arrest, Deep Hypothermia Induced; Female; Heart Defects, Congenital - mortality; Heart Defects, Congenital - surgery; Heart Septal Defects, Ventricular; Humans; Infant; Infant, Newborn; Male; Postoperative Period; Pulmonary Veins - pathology; Pulmonary Veins - surgery; Retrospective Studies
• ISSN: 0529-5815
• DOI: 10.3760/cma.j.issn.0529-5815.2016.04.007

To discuss the experience of surgical treatment of total anomalous pulmonary venous connection (TAPVC) in infants. The clinic data of 84 cases with TAPVC under 6 months of age underwent surgical treatment at Department of Cardiac Surgery, Guangzhou Women and Children's Medical Center from January 2012 to October 2015 were analyzed retrospectively. There were 58 male and 26 female patients. The patients were aged 1 days to 6 months with a mean of (2.4±2.2) months at surgery, including 22 newborns. Body weight was 1.8 to 6.8 kg with a mean of (4.3±1.2) kg. There were 24 cases of intracardiac type, 46 cases of supracardiac type, 10 cases of infracardiac type and 4 cases of mixed type. There were 26 cases received emergent operation. There were 14 cases used Sutureless technique in operations and 46 cases used conventional methods in the no-intracardiac type cases, and 2 cases enlarged the anastomsis with autologous pericardium. According to the condition, corrective surgeries of other anomalies were performed in