Infant total anomalous pulmonary venous connection of the surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 15 Infant total anomalous pulmonary venous connection of the surgical treatment of Author: Zhu Hailong, Zhang Jin-zhou, Chen Tao, Yi Ding-hua, Sun Cheng, is high [Keywords:] pulmonary vein [Abstract] AIM: To explore surgical operation and perioperative treatment for total anomalous pulmonary venous connection (TAPVC) in infants and children. METHODS: Twentynine corrective operations for TAPVC were retrospectively analysed. All patients, aging 2-35 months and weighing 2.9-14.0 kg, underwent total corrective operations with moderate hypothermia and cardiopulmonary bypass, of which 5 cases were emergency or subemergency. RESULTS: Two patients died (mortality 6.9%). In the period of perioperative low cardiac output occurred in 6 patients, pulmonary hypertension crisis in 1, pulmonary infection in 5 patients and diaphragmatic paralysis in 1 patient. Followup varied from 1 month to 8 years in 27 patients. No later death or obvious obstruction of pulmonary venous drainage were found. Twentythree patients were NYHA I class and 4 were II class . CONCLUSION: Corrective operations for TAPVC have to be performed as soon as diagnosis is confirmed. Particularly for severe obstruction of pulmonary venous drainage, emergent or subemergent operation is necessary. Postoperative treatment should limit fluid volume and avoid exorbitant afterload. Proper managements including cardiac, diuresis and controlling pulmonary artery pressure are helpful, especially respiratory administration and nutrition support. [Keywords] infants; heart defect, congenital; pulmonary venous; surgical procedures, operative [Abstract] Objective: To investigate the infants total anomalous pulmonary venous connection surgical treatment and perioperative management. Methods: Retrospective analysis of 29 cases of infant total anomalous pulmonary venous connection surgical data, age 2 ~ 35 mo (mean 16.8 ± 10.1 ) mo, body weight 2.9 ~ 14.0 kg (mean 8.8 ± 4.3) kg. were under moderate