Document Detail

Total anomalous pulmonary venous drainage beyond childhood.
MedLine Citation:
PMID:  18786944     Owner:  NLM     Status:  MEDLINE    
We studied the anatomic characteristics and results of surgery in 27 patients with total anomalous pulmonary venous drainage who were 15 years or older between January 1997 and July 2007. Mean age was 19.7+/-11.6 years (15-48 years). The anatomic subtypes were supracardiac (n=15), cardiac (n=7), and mixed (n=5). Fourteen patients were in NYHA class II and 13 were in NYHA class III. Eleven patients had severe and the rest had moderate pulmonary arterial hypertension; six patients had significant right ventricular dysfunction. All patients underwent complete repair. A small inter-atrial communication was left open in four patients and in two patients, a fenestrated unidirectional valved patch was used to close the atrial septal defect. There were no early or late deaths. Follow-up was 3-127 months (mean 61.2+/-36.1 months). Twenty patients were in NYHA class I and seven were in class II. Echocardiography showed normal right and left ventricular function in all patients with reduction of pulmonary arterial pressures in 26 patients. One patient underwent radiofrequency ablation for new onset atrial flutter. Surgery can be safely undertaken in a few naturally selected group of patients with total anomalous pulmonary venous drainage who survive beyond childhood.
Sachin Talwar; Shiv Kumar Choudhary; Srikrishna Reddy; Anita Saxena; Shyam Sunder Kothari; Rajnish Juneja; Balram Airan
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Publication Detail:
Type:  Journal Article     Date:  2008-09-11
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-25     Completed Date:  2009-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1058-61     Citation Subset:  IM    
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Cardiac Surgical Procedures* / adverse effects
Cardiopulmonary Bypass
Coronary Circulation*
Heart Defects, Congenital / complications,  physiopathology,  surgery*
Middle Aged
Pulmonary Circulation*
Pulmonary Veins / abnormalities,  physiopathology,  surgery*
Recovery of Function
Time Factors
Treatment Outcome
Young Adult

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