Document Detail

Repair of total anomalous pulmonary venous connection in early infancy.
MedLine Citation:
PMID:  12692017     Owner:  NLM     Status:  MEDLINE    
From May 1995 through October 2001, 19 infants less than 90 days old underwent surgical correction of total anomalous pulmonary venous connection. In 15 babies with isolated total anomalous pulmonary venous connection, there was one operative death. In 4 with complex anomalies, there were 2 operative deaths. The vertical vein was not ligated in 6 cases for various reasons. Two patients died during reoperation for early pulmonary venous obstruction. In the late follow-up, 2 babies required reoperation for late anastomotic stricture; one needed additional balloon dilatation. Of the 14 surviving patients, one had a small residual gradient and infrequent supraventricular tachycardia, the others were asymptomatic and without gradients. Surgical correction of total anomalous pulmonary venous connection can be carried out in early infancy with low mortality and morbidity. However, associated complex cardiac anomalies and small caliber pulmonary arteries and veins carry higher risks. Recurrent pulmonary venous obstruction and diffuse pulmonary vein stenosis are causes of early reoperation and poor surgical outcome.
Dharmapuram Anil Kumar; Raghavan Nair Suresh Kumar; Pantula Narasinga Rao; Hassan Mohamed Mahmoud; Sushil Chandran; Achal Kumar Dhir; Dileep Kumar Saxena; Sivan Pillay Azhagappan; Velayudhan Ramakrishna Pillai; Chokkanathapura Gopalakrishnan Venkitachalam; Mohamed Amin Fikree; Yoosuph Abdul Nazer; Timothy Boyd Cartmill; Ivatury Mrutyunjaya Rao
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  11     ISSN:  0218-4923     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-04-14     Completed Date:  2003-08-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  18-22     Citation Subset:  IM    
Department of Cardiac Surgery, Al Mafraq Hospital, Abu Dhabi, UAE.
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MeSH Terms
Cardiac Surgical Procedures / methods*
Heart Defects, Congenital / surgery*
Infant, Newborn
Ligation / methods
Pulmonary Veins / physiopathology*,  surgery*
Retrospective Studies
Treatment Outcome

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