Document Detail


Sutureless pericardial repair of total anomalous pulmonary venous connection in patients with right atrial isomerism.
MedLine Citation:
PMID:  20179133     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Surgical repair of total anomalous pulmonary venous connection (TAPVC) in patients with right atrial isomerism is associated with a significant risk of recurrent pulmonary venous obstruction (PVO). We evaluate the effect of sutureless repair to reduce the risk of recurrent PVO. Since November 2007, five patients, including three neonates, with right atrial isomerism underwent sutureless repair of TAPVC. The sutureless repair was used in three neonates as an initial procedure and in two infants as a procedure for postrepair PVO. Under deep hypothermic circulatory arrest or low flow cardiopulmonary bypass, pulmonary vein (PV) was incised as long as possible. The atrial wall was partially resected and anastomosed to the pericardial wall around the incised PV. There were no early deaths. No patients showed recurrence of PVO. There was one late death. Two patients underwent a bidirectional Glenn shunt after the sutureless repair. The pulmonary venous confluence was confirmed to be left open at the time of the Glenn surgery. The sutureless technique may be useful not only for postrepair PVO but also for non-operated TAPVC in neonates with right atrial isomerism.
Authors:
Naoki Yoshimura; Yoshihiro Oshima; Roland Henaine; Hironori Matsuhisa
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Publication Detail:
Type:  Journal Article     Date:  2010-02-23
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-20     Completed Date:  2010-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  675-8     Citation Subset:  IM    
Copyright Information:
2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Affiliation:
First Department of Surgery, University of Toyama, Graduate School of Medicine, Toyama, Japan. ynaoki@med.u-toyama.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / surgery,  ultrasonography
Anastomosis, Surgical / methods
Cardiopulmonary Bypass / methods
Child, Preschool
Echocardiography, Doppler
Female
Follow-Up Studies
Heart Atria / abnormalities*,  surgery
Heart Defects, Congenital / surgery*,  ultrasonography
Humans
Infant
Infant, Newborn
Male
Pericardium / surgery
Pulmonary Veins / abnormalities*,  surgery
Pulmonary Veno-Occlusive Disease / surgery*,  ultrasonography
Risk Assessment
Sampling Studies
Suture Techniques
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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