دورية أكاديمية
Mixed type total anomalous pulmonary venous connection: early results and surgical techniques.
| العنوان: | Mixed type total anomalous pulmonary venous connection: early results and surgical techniques. |
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| المؤلفون: | Furlanetto G; Furlanetto Institute, São Paulo, Brazil furlanettoglaucio@gmail.com., Furlanetto BH; Instituto Furlanetto - Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil., Henriques SR; Instituto Furlanetto - Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil., Lopes LM; Real e Benemérita Associação Portuguesa, São Paulo, Brazil., Miranda ET; Instituto Furlanetto - Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil., Porto CM; Instituto Furlanetto - Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil., Pereira ME; Instituto Furlanetto - Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil., Davini C; Instituto Furlanetto - Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil., Espinosa EC; Instituto Furlanetto - Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, Brazil. |
| المصدر: | World journal for pediatric & congenital heart surgery [World J Pediatr Congenit Heart Surg] 2015 Jan; Vol. 6 (1), pp. 26-32. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 101518415 Publication Model: Print Cited Medium: Internet ISSN: 2150-136X (Electronic) Linking ISSN: 21501351 NLM ISO Abbreviation: World J Pediatr Congenit Heart Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Thousand Oaks, CA : Sage Publications |
| مواضيع طبية MeSH: | Abnormalities, Multiple/*surgery , Heart Defects, Congenital/*surgery , Pulmonary Veins/*abnormalities , Vascular Malformations/*surgery, Abnormalities, Multiple/mortality ; Cardiopulmonary Bypass ; Female ; Heart Defects, Congenital/mortality ; Humans ; Infant ; Infant, Newborn ; Male ; Pulmonary Veins/surgery ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome ; Vascular Malformations/mortality |
| مستخلص: | Introduction: The mixed total anomalous pulmonary connection is a rare type of congenital cardiopathy. The occurrence of multiple connections of the pulmonary veins has important implication in the diagnosis and surgical planning. These types of total anomalous pulmonary venous connection (TAPVC) and the infracardiac have higher surgical mortality. Methods: Between December 1994 and July 2013, a total of 58 children underwent surgical treatment of TAPVC. Twenty-five (43.1%) patients had supracardiac connection, 15 (25.8%) patients had intracardiac type, 12 (20.6%) patients had a mixed type, and 6 (10.3%) patients had an infracardiac type. In children with mixed TAPVC, four (33.3%) patients had type I, five (41.6%) patients had type II, and three (25.0%) patients had type III. The diagnosis of TAPVC was performed in all patients using Doppler echocardiography, and they underwent cardiopulmonary bypass with aorta-bicaval cannulation and lately we use mild hypothermia with normal flow. The drainage channels were ligated in all patients. Results: The immediate surgical results were as follows: one (16.6%) death in the infracardiac group, four (16.0%) deaths in the supracardiac group, one (8.3%) death in the mixed group, and no death in the cardiac group (no statistical difference, P = .488). Conclusion: In this series of patients, the mixed TAPVC could be corrected only with preoperative two-dimensional Doppler echocardiography with good immediate results, and we believe that the use of computed angiotomography combined with three-dimensional reconstruction may improve the surgical outcome mainly in the mixed and infracardiac group of TAPVC. (© The Author(s) 2014.) |
| فهرسة مساهمة: | Keywords: congenital heart disease (CHD); congenital heart surgery; neonate; pediatric |
| تواريخ الأحداث: | Date Created: 20141231 Date Completed: 20150805 Latest Revision: 20191210 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1177/2150135114554660 |
| PMID: | 25548340 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2150-136X |
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| DOI: | 10.1177/2150135114554660 |