초록접수 현황
| 14F-271 | 구연 발표 |
Results of Surgical Repair in Patients with Total Anomalous Pulmonary Venous Return and Biventricular Anatomy during Recent 10 Years
Eun Seok Choi, Sungkyu Cho, Hong-Gook Lim, Jeong Ryul Lee, Yong Jin Kim, Woong-Han Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul National University College of Medicine, Seoul, South Korea
Background : This study describes results of surgical repair for total anomalous pulmonary venous return (TAPVR) with biventricular anatomy for recent 10 years at a single institution.
Methods : From January 2004 to June 2014, Fifty four (Male: 30) consecutive patients with biventricular anatomy underwent surgical repair of TAPVR. The clinical data of them were reviewed retrospectively.
Results : TAPVR subtypes included supracardiac 27 (50%), cardiac 11 (20%), infracardiac 10 (19%), and mixed 6 (11%). Mechanical ventilation was required for hypoxia in 22 (41%) patients. Median age at repair was 17.5 days and median weight was 3.5 kg. Deep hypothermic circulatory arrest was used during operation in only 1 patient. There were 3 (6%) hospital deaths and no late death. Mortality was 2 in supracardiac and 1 in mixed type. Postoperative pulmonary venous obstruction requiring intervention was found in only 1 (2%) patient. Prematurity (p = 0.006) and low body weight below 2.5 kg (p = 0.02) at repair were found to be associated with mortality.
Conclusion : Patients with TAPVR and biventricular anatomy have excellent surgical outcomes regardless of TAPVR subtypes. Patients with prematurity and low body weight below 2.5 kg at repair have higher mortality.
Methods : From January 2004 to June 2014, Fifty four (Male: 30) consecutive patients with biventricular anatomy underwent surgical repair of TAPVR. The clinical data of them were reviewed retrospectively.
Results : TAPVR subtypes included supracardiac 27 (50%), cardiac 11 (20%), infracardiac 10 (19%), and mixed 6 (11%). Mechanical ventilation was required for hypoxia in 22 (41%) patients. Median age at repair was 17.5 days and median weight was 3.5 kg. Deep hypothermic circulatory arrest was used during operation in only 1 patient. There were 3 (6%) hospital deaths and no late death. Mortality was 2 in supracardiac and 1 in mixed type. Postoperative pulmonary venous obstruction requiring intervention was found in only 1 (2%) patient. Prematurity (p = 0.006) and low body weight below 2.5 kg (p = 0.02) at repair were found to be associated with mortality.
Conclusion : Patients with TAPVR and biventricular anatomy have excellent surgical outcomes regardless of TAPVR subtypes. Patients with prematurity and low body weight below 2.5 kg at repair have higher mortality.
책임저자: Woong-Han Kim
Department of Thoracic and Cardiovascular Surgery, Seoul National University Children’s Hospital, Seoul National University College of Medicine, Seoul, South Korea
연락처 : Eun Seok Choi, Tel: 02-2072-2348 , E-mail : gninihs@naver.com
