Surgical Correction of Total Anomalous Pulmonary Venous Connection without Total Circulatory Arrest / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 12-17, 2006.
Article
en Ko
| WPRIM
| ID: wpr-110777
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: Circulatory arrest under deep hypothermia is an important auxiliary means for surgical correction of total anomalous pulmonary venous connection (TAPVC). However, cardiac operations under deep hypothermic circulatory arrest are associated with the risk of post-arrest neurologic abnormalities. The purpose of this study is to evaluate the results of the surgical correction of total anomalous pulmonary venous connection without the total circulatory arrest. MATERIAL AND METHOD: Between April 2000 and October 2004, hospital records of 10 patients were reviewed retrospectively. RESULT: The locations for abnormal anatomical connections were supracardiac in 7 cases, cardiac in 1 case, and infracardiac in 2 cases. The mean cardiopulmonary bypass time and aorta cross clamp time were 116.8+/-40.7 and 69.5+/-24.1 minutes. There was no surgical mortality. Postoperative complications were post-repair pulmonary venous stenosis in 1 case, pneumonia in 1, pneumothorax in 1, wound infection in 1, and diaphragmatic paralysis in 1. All patients without pulmonary venous stenosis were in NYHA class I at mean follow-up of 16.6 months (3~49 months) CONCLUSION: We could obtain excellent results by repair without the total circulatory arrest for total anomalous pulmonary venous connection.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Aorta
/
Neumonía
/
Neumotórax
/
Complicaciones Posoperatorias
/
Parálisis Respiratoria
/
Infección de Heridas
/
Puente Cardiopulmonar
/
Registros de Hospitales
/
Estudios Retrospectivos
/
Estudios de Seguimiento
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2006
Tipo del documento:
Article