Outcomes of Double-patch and Warden Techniques in Patients With Supracardiac Partial Anomalous Pulmonary Venous Connection
| Autor: | N. R. Nichay, Yuriy Y Kulyabin, Yuriy Naberukhin, A.V. Zubritskiy, Yuriy N. Gorbatykh, Alexander Bogachev-Prokophiev, Alexander Karaskov, A.N. Arkhipov, T. S. Khapaev |
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| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Vena Cava Superior Constriction Pathologic 030204 cardiovascular system & hematology Partial Anomalous Pulmonary Venous Connection 03 medical and health sciences 0302 clinical medicine Superior vena cava Medicine Humans In patient 030212 general & internal medicine Child Superior Vena Cava Stenosis Sinus (anatomy) Anomalous pulmonary venous connection business.industry Scimitar Syndrome Infant medicine.disease Confidence interval Surgery medicine.anatomical_structure Pulmonary Veins Relative risk Child Preschool Female Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Heart, lungcirculation. 29(1) |
| ISSN: | 1444-2892 |
| Popis: | This study compared outcomes following the double-patch and Warden procedures for correcting partial anomalous connection of the right pulmonary veins to the superior vena cava.Eighty (80) patients, aged18years old, and with partial anomalous connection of the right pulmonary veins to the superior vena cava were randomly assigned into double-patch method (n=40) and Warden procedure (n=40) groups. The median follow-up was 22.5 (range, 12-39) months. The primary endpoint was sinus node dysfunction at the mid-term follow-up period.No early or late mortality occurred. In the early postoperative period, sinus node dysfunction was observed in 27.5% and 5% of cases after double-patch correction and the Warden procedure, respectively (risk ratio, 5.50; 95% confidence interval, 1.30-23.25; p=0.01). At follow-up, sinus node dysfunction persisted in two (5%) patients after double-patch correction. All patients had normal sinus rhythm after the Warden procedure. No early or late pacemaker implantation occurred in either group. No patients had significant pulmonary veins or superior vena cava stenosis.The double-patch technique and Warden procedure both showed excellent early and mid-term results with no mortality and minimal morbidity. The Warden procedure was associated with less sinus node dysfunction in the early postoperative period than the double-patch technique. There was no significant between-group difference in sinus node dysfunction at the mid-term follow-up. |
| Databáze: | OpenAIRE |
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