Mixed Type Total Anomalous Pulmonary Venous Connection
| Autor: | Gláucio Furlanetto, Eduardo T. Miranda, Claudia Davini, Beatriz H. S. Furlanetto, Sandra R. C. Henriques, Maria Emilia N. T. Pereira, Elssi C. Espinosa, Lilian M. Lopes, Carolina M. G. Porto |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Vascular Malformations Mixed type Internal medicine medicine Humans Abnormalities Multiple Total anomalous pulmonary venous connection Retrospective Studies Cardiopulmonary Bypass business.industry Infant Newborn Infant General Medicine medicine.disease Connection (mathematics) Surgery Treatment Outcome Early results Pulmonary Veins Pediatrics Perinatology and Child Health Cardiology Female Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | World Journal for Pediatric and Congenital Heart Surgery. 6:26-32 |
| ISSN: | 2150-136X 2150-1351 |
| DOI: | 10.1177/2150135114554660 |
| Popis: | Introduction: The mixed total anomalous pulmonary connection is a rare type of congenital cardiopathy. The occurrence of multiple connections of the pulmonary veins has important implication in the diagnosis and surgical planning. These types of total anomalous pulmonary venous connection (TAPVC) and the infracardiac have higher surgical mortality. Methods: Between December 1994 and July 2013, a total of 58 children underwent surgical treatment of TAPVC. Twenty-five (43.1%) patients had supracardiac connection, 15 (25.8%) patients had intracardiac type, 12 (20.6%) patients had a mixed type, and 6 (10.3%) patients had an infracardiac type. In children with mixed TAPVC, four (33.3%) patients had type I, five (41.6%) patients had type II, and three (25.0%) patients had type III. The diagnosis of TAPVC was performed in all patients using Doppler echocardiography, and they underwent cardiopulmonary bypass with aorta-bicaval cannulation and lately we use mild hypothermia with normal flow. The drainage channels were ligated in all patients. Results: The immediate surgical results were as follows: one (16.6%) death in the infracardiac group, four (16.0%) deaths in the supracardiac group, one (8.3%) death in the mixed group, and no death in the cardiac group (no statistical difference, P = .488). Conclusion: In this series of patients, the mixed TAPVC could be corrected only with preoperative two-dimensional Doppler echocardiography with good immediate results, and we believe that the use of computed angiotomography combined with three-dimensional reconstruction may improve the surgical outcome mainly in the mixed and infracardiac group of TAPVC. |
| Databáze: | OpenAIRE |
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