title: Total anomalous pulmonary venous connection beyond infancy.
abstract: Most patients with total anomalous pulmonary venous connection are operated on in infancy, with low mortality and morbidity, but in developing countries, we still encounter patients beyond infancy. We describe our experience in 26 patients aged 1-16 years (mean, 5.01 years), with total anomalous pulmonary venous connection, who underwent correction between June 2007 and December 2009. Eleven patients were >5-years old. Transthoracic echocardiography was diagnostic in all cases. Mean intensive care unit stay was 2.3 ± 0.87 days, and hospital stay was 9.23 ± 2.34 days. There were no early deaths and no major postoperative complications. Follow-up ranged from 10-40 months. Pulmonary artery pressure, as judged by echocardiography, reduced significantly in all patients. Repair of total anomalous pulmonary venous connection beyond infancy can be carried out safely with acceptable results.
authors: Innova Children's Heart Hospital, Tarnaka, Hyderabad, India. drpramodreddy@yahoo.com
authors: Kandakure Pramod
authors: KP
authors: Reddy
authors: Ramodass
authors: R
authors: Nagarajan
authors: Usha
authors: U
authors: Rani
authors: Shiva
authors: S
authors: Prasad
authors: Srinivas
authors: S
authors: Chakravarthy
authors: Ivatury M
authors: IM
authors: Rao
authors: Kona Samba
authors: KS
authors: Murthy
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001794:Blood Pressure; D006348:Cardiac Surgical Procedures; D002648:Child; D002675:Child, Preschool; D003906:Developing Countries; D065627:Familial Primary Pulmonary Hypertension; D005260:Female; D006330:Heart Defects, Congenital / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000503:physiopathology; D007194:India; D007223:Infant; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D011652:Pulmonary Circulation; D011667:Pulmonary Veins / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography