Total anomalous pulmonary venous connection. Results of a small consecutive series.
The surgical experience in 13 infants with total anomalous pulmonary venous connection (TAPVC) between 1987 and 1991 is reviewed. The age vary from 2 days to 35 months with a weight at intervention from 2.130 kg to 5.400 kg. The types of TAPVC were supracardiac in 4 patients, cardiac in 4, and infracardiac in 5. Seven patients (54%) were operated on in emergency. Cardiopulmonary bypass consisted of profound hypothermia and total circulatory arrest in 8 patients (60%) and continuous hypothermic bypass with low flow for the remaining 5 patients (40%). There was no operative death. The follow-up ranges from 21 to 58 months, mean 40 months. There was one reoperation. All the patients were asymptomatic and the height growth percentile is less than 5% in 20%, and the weight growth percentile is less than 5% in 30%. The early repair of infants born with TAPVC can be done with low morbidity with a good prospect on medium term follow-up.
Le Minh
T
T
Department of Cardiac Surgery, Hôpital Universitaire Brugmann, Brussels, Belgium.
Demanet
H
H
Viart
P
P
Goldstein
J P
JP
Cavenaile
J C
JC
Primo
G
G
Deuvaert
F E
FE
D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D005500:Follow-Up Studies; D006324:Heart Arrest, Induced; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*