Intrinsic Obstruction in Pulmonary Venous Drainage Pathway is Associated with Poor Surgical Outcomes in Patients with Total Anomalous Pulmonary Venous Connection

详细信息    查看全文

• 作者：Takaya Hoashi ; Koji Kagisaki ; Kenichi Kurosaki ; Masataka Kitano…
• 关键词：Total anomalous pulmonary venous connection ; Pulmonary vein stenosis ; Nitric oxide
• 刊名：Pediatric Cardiology
• 出版年：2015
• 出版时间：February 2015
• 年：2015
• 卷：36
• 期：2
• 页码：432-437
• 全文大小：199 KB
• 参考文献：1. Azakie A, Lavrsen MJ, Johnson NC, Sapru A (2011) Early outcomes of primary sutureless repair of the pulmonary veins. Ann Thorac Surg 92:666-71 CrossRef
  2. Girard C, Neidecker J, Laroux MC, Champsaur G, Estanove S (1993) Inhaled nitric oxide in pulmonary hypertension after total repair of total anomalous pulmonary venous return. J Thorac Cardiovasc Surg 106:369
  3. Gorenflo M, Gu H, Xu Z (2010) Peri-operative pulmonary hypertension in paediatric patients: current strategies in children with congenital heart disease. Cardiology 116:10-7 CrossRef
  4. Greenway SC, Yoo SJ, Baliulis G, Caldarone C, Coles J, Grosse-Wortmann L (2011) Assessment of pulmonary veins after atrio-pericardial anastomosis by cardiovascular magnetic resonance. J Cardiovasc Magn Reson 13:72 CrossRef
  5. Hancock Friesen CL, Zurakowski D, Thiagarajan RR, Forbess JM, del Nido PJ, Mayer JE, Jonas RA (2005) Total anomalous pulmonary venous connection: an analysis of current management strategies in a single institution. Ann Thorac Surg 79:596-06 CrossRef
  6. Haworth SG (1982) Total anomalous pulmonary venous return. Prenatal damage to pulmonary vascular bed and extrapulmonary veins. Br Heart J 48:513-24 CrossRef
  7. Honjo O, Atlin CR, Hamilton BCS, Al-Radi O, Viola N, Coles JG, Van Arsdell GS, Caldarone CA (2010) Primary sutureless repair for infants with mixed total anomalous pulmonary venous drainage. Ann Thorac Surg 90:862-68 CrossRef
  8. H?rer J, Neuray C, Vogt M, Cleuziou J, Kasnar-Samprec J, Lange R, Schreiber C (2013) What to expect after repair of total anomalous pulmonary venous connection: data from 193 patients and 2902 patient years. Eur J Cardiothorac Surg 44:800-07 CrossRef
  9. Karamlou T, Gurofsky R, Al Sukhni E, Coles JG, Williams WG, Caldarone CA, Van Arsdell GS, McCrindle BW (2007) Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation 115:1591-598 CrossRef
  10. Kelle AM, Backer CL, Gossett JG, Kaushal S, Mavroudis C (2010) Total anomalous pulmonary venous connection: results of surgical repair of 100 patients at a single institution. J Thorac Cardiovasc Surg 139:1387-390 CrossRef
  11. Lacour-Gayet F, Rey C, Planché C (1996) Pulmonary vein stenosis. Description of a sutureless surgical procedure using the pericardium in situ. Arch Mal Coeur Vaiss 89:633-63
  12. Miller OI, Tang SF, Keech A, Pigott NB, Beller E, Celermajer DS (2000) Inhaled nitric oxide and prevention of pulmonary hypertension after congenital heart surgery: a randomised double-blind study. Lancet 356:1464-469 CrossRef
  13. Mueller C, Dave H, Prêtre R (2013) Primary correction of total anomalous pulmonary venous return with a modified sutureless technique. Eur J Cardiothorac Surg 43:635-40 CrossRef
  14. Seale AN, Uemura H, Webber SA, Partridge J, Roughton M, Ho SY, McCarthy KP, Jones S, Shaughnessy L, Sunnegardh J, Hanseus K, Berggren H, Johansson S, Rigby ML, Keeton BR, Daubeney PE, British Congenital Cardiac Association (2010) Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation 122:2718-726 CrossRef
  15. Seale AN, Uemura H, Webber SA, Partridge J, Roughton M, Ho SY, McCarthy KP, Jones S, Shaughnessy L, Sunnegardh J, Hanseus K, Berggren H, Johansson S, Rigby ML, Keeton BR, Daubeney PE (2013) British Congenital Cardiac Association. Total anomalous pulmonary venous connection: outcome of postoper
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  Cardiac Surgery
  Vascular Surgery
  
• 出版者：Springer New York
• ISSN：1432-1971

文摘

The aim of this study was to review the surgical outcomes of conventional repair in patients with total anomalous pulmonary venous connection (TAPVC). Between 1999 and 2012, 46 patients underwent conventional TAPVC repair; of those, 14 required emergent surgery within the first 24?h after their birth for coexisting intrinsic obstruction in pulmonary venous drainage pathway (Group 1). The remaining 32 were operated on after the first day of life and were divided into two groups: with (Group 2, n?=?10) and without (Group 3, n?=?22) subsequently progressed pulmonary venous obstruction (PVO) after birth. A follow-up was completed on all patients, and the mean follow-up period was 7?±?4?years (range 0.9-4). Group 1 required a significantly prolonged nitric oxide inhalation (12?±?11?days) and mechanical ventilation support (29?±?36?days) compared to Group 2 and Group 3. The actuarial survival rate at 10?years was 69?% in Group 1, 88?% in Group 2, and 96?% in Group 3 (Group 1 vs. Group 3: p?=?0.05). Freedom from postoperative pulmonary vein stenosis at 10?years was 39?% in Group 1, 70?% in Group 2, and 86?% in Group 3 (Group 1 vs. Group 3: p?=?0.002). However, all the ten survivors in Group 1 showed an NYHA functional status of I or II, and 60?% of survivors were free from medication. Outcomes of patients with TAPVC requiring surgical repair at the day of birth for coexisting intrinsic PVO were still dismal; however, the acceptable status of current survivors has encouraged us to treat this challenging group surgically.