Korean J Thorac Cardiovasc Surg.  2006 Jan;39(1):12-17.

Surgical Correction of Total Anomalous Pulmonary Venous Connection without Total Circulatory Arrest

• Han WK
• Cho JY
• Lee JT
• Kim KT
• Chang BH
• Lee EB

Abstract

BACKGROUND: Circulatory arrest under deep hypothermia is an important auxiliary means for surgical correction of total anomalous pulmonary venous connection (TAPVC). However, cardiac operations under deep hypothermic circulatory arrest are associated with the risk of post-arrest neurologic abnormalities. The purpose of this study is to evaluate the results of the surgical correction of total anomalous pulmonary venous connection without the total circulatory arrest. MATERIAL AND METHOD: Between April 2000 and October 2004, hospital records of 10 patients were reviewed retrospectively. RESULT: The locations for abnormal anatomical connections were supracardiac in 7 cases, cardiac in 1 case, and infracardiac in 2 cases. The mean cardiopulmonary bypass time and aorta cross clamp time were 116.8+/-40.7 and 69.5+/-24.1 minutes. There was no surgical mortality. Postoperative complications were post-repair pulmonary venous stenosis in 1 case, pneumonia in 1, pneumothorax in 1, wound infection in 1, and diaphragmatic paralysis in 1. All patients without pulmonary venous stenosis were in NYHA class I at mean follow-up of 16.6 months (3~49 months)
CONCLUSION
We could obtain excellent results by repair without the total circulatory arrest for total anomalous pulmonary venous connection.

Keyword

Pulmonary vein, total anomalous return; Total circulatory arrest, induced; Cardiopulmonary bypass

MeSH Terms

Aorta
Cardiopulmonary Bypass
Circulatory Arrest, Deep Hypothermia Induced
Constriction, Pathologic
Follow-Up Studies
Hospital Records
Humans
Hypothermia
Mortality
Pneumonia
Pneumothorax
Postoperative Complications
Respiratory Paralysis
Retrospective Studies
Wound Infection