Surgical treatment of total anomalous pulmonary venous connection.
OBJECTIVE
To summarize the surgical treatment of total anomalous pulmonary venous connection (TAPVC).


METHODS
We retrospectively analyzed 49 patients with TAPVC as follows: 37 patients with supra-cardiac type in which 35 received anastomoses between the rear wall of the left atrium and the common pulmonary vein and the other 2 received anastomoses between the rear edge of the left atrium roof and the common pulmonary vein; another 12 patients with cardiac type who were incised the upper edge of coronary sinus, connected the common junction of pulmonary veins with the left atrium to form a new left atrium, and repaired the atrial septal defect with a pericardial patch.


RESULTS
Forty-six patients recovered and 3 patients died. Thirty-eight patients were followed-up from 3 months to 8 years. The rest patients got fluent pulmonary vein drainage and their heart function resumed to NYHA I.


CONCLUSIONS
TAPVC patients should be operated on immediately at definite diagnosis. The fluency of the common pulmonary vein-left atrium anastomoses and proper postoperative care can ensure a satisfactory outcome.
Cao
Liang
L
Department of Cardiothoracic Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China. yjf19682005@yahoo.com.cn
Hu
Jian-Guo
JG
Yang
Yi-Feng
YF
Yang
Jin-Fu
JF
Yin
Bang-Liang
BL
Zhou
Xin-Min
XM
Wu
Zhong-Shi
ZS
Liu
Jian
J
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*; D012189:Retrospective Studies; D055815:Young Adult