title: Computed tomography in late evaluation of surgical treatment of pulmonary veins total anomalous connection.
abstract: OBJECTIVE
  To evaluate if the findings of multislice computed tomography (MSCT) are associated with clinical and laboratory tests routinely used in the late follow-up of children undergoing surgical treatment of total anomalous pulmonary venous connection (TAPVC).
  
  
  METHODS
  From January 2002 to December 2007, 12 patients operated due to CATVP were evaluated with history, physical examination, chest X-ray, electrocardiogram, echocardiography and MSCT. Specific changes observed in each one of these tests were identified and compared with MSCT qualitative findings.
  
  
  RESULTS
  Eleven patients were in functional class I (NYHA), three had nonspecific murmurs, and three were below the 15th percentile of weight and height. Two had pulmonary field abnormalities and three had a slight increase of the cardiac area in the X-ray examination. In the electrocardiogram, one patient had right ventricular overload and one had junctional rhythm. All echocardiograms were within the normal range, except for one patient with stenosis between the superior vena cava and right atrium. MSCT was completely normal in four patients, three had compression of the pulmonary veins and four had significant caliber reduction, which correlated with the other findings. Thus, MSCT showed a sensitivity of 87.5%, specificity of 0.75%, positive predictive value of 87.5%, negative predictive value of 75% and accuracy of 83.3% to demonstrate anatomic changes compared to changes in the physical examination or other additional tests.
  
  
  CONCLUSIONS
  MSTC may provide valuable information and complement the diagnosis of possible anatomical and functional changes in the late follow-up of patients undergoing surgical repair of TAPVC.
authors.affiliation: Serviço de Cirurgia Cardiovascular Pediátrica de São José do Rio Preto, Hospital de Base, FUNFARME / FAMERP. uacroti@uol.com.br
authors.forename: Ulisses Alexandre
authors.initials: UA
authors.lastname: Croti
authors.forename: Lilian
authors.initials: L
authors.lastname: Beani
authors.forename: Airton Camacho
authors.initials: AC
authors.lastname: Moscardini
authors.forename: Arthur Soares
authors.initials: AS
authors.lastname: Souza Júnior
authors.forename: Antônio Soares
authors.initials: AS
authors.lastname: Souza
authors.forename: Sírio Hassem
authors.initials: SH
authors.lastname: Sobrinho
authors.forename: Carlos Henrique
authors.initials: CH
authors.lastname: De Marchi
authors.forename: Moacir Fernandes de
authors.initials: MF
authors.lastname: Godoy
authors.forename: Domingo Marcolino
authors.initials: DM
authors.lastname: Braile
mesh_terms: D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography / Q000379:methods / Q000592:standards*; D011184:Postoperative Period; D011237:Predictive Value of Tests; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000601:surgery