Continuous Cardiopulmonary Bypass During the Repair of Total Anomalous Pulmonary Venous Return.
Circulatory arrest (CA) is traditionally utilized during the repair of total anomalous pulmonary venous return (TAPVR). Since 2005, we have exclusively repaired all types of TAPVR using continuous cardiopulmonary bypass. We present our technique using continuous cardiopulmonary bypass throughout the duration of the repair, by temporarily occluding the vertical vein and placing a pump sucker within the pulmonary venous confluence. This technique has been used on 29 consecutive patients and resulted in limited morbidity and absence of pulmonary vein stenosis from most recent follow-up.
Pediatric Cardiac Consortium of Upstate New York, NY, USA.|Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA.
Jacob S
JS
Parzen
Pediatric Cardiac Consortium of Upstate New York, NY, USA.|Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA.
Michael F
MF
Swartz
Pediatric Cardiac Consortium of Upstate New York, NY, USA.|Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA.
Jill M
JM
Cholette
Pediatric Cardiac Consortium of Upstate New York, NY, USA.|SUNY Upstate Medical University, Syracuse, New York, NY, USA.
Frank
F
Smith
Pediatric Cardiac Consortium of Upstate New York, NY, USA.|Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA.|SUNY Upstate Medical University, Syracuse, New York, NY, USA.
Francisco
F
Gensini
Pediatric Cardiac Consortium of Upstate New York, NY, USA george_alfieris@urmc.rochester.edu.|Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA.|SUNY Upstate Medical University, Syracuse, New York, NY, USA.
George M
GM
Alfieris
D002315:Cardiopulmonary Bypass / Q000379:methods*; D006801:Humans; D007223:Infant; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D012587:Scimitar Syndrome / Q000175:diagnosis / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*
congenital heart disease; hypothermia/circulatory arrest; infant; perfusion