Direct operating room triage of neonates with total anomalous pulmonary venous connection.
Total anomalous pulmonary venous connection with obstruction constitutes a surgical emergency. Medical therapy is palliative and unlikely to result in significant or sustained physiologic improvement. Two cases demonstrate the successful use of a novel management scheme in which patients are admitted directly to the operating room for diagnosis confirmation and treatment, obviating the need for time-consuming preoperative assessment in an intensive care unit before surgery.
Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH, 44106, USA.
Jason
J
Aguirre
Constantine
C
Mavroudis
Marshall
M
Jacobs
Robert
R
Stewart
D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009873:Operating Rooms / Q000458:organization & administration*; D057234:Preoperative Period; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D014218:Triage / Q000458:organization & administration*; D054079:Vascular Malformations / Q000175:diagnosis* / Q000601:surgery; D014656:Vascular Surgical Procedures