TAPVC完全性肺静脉畸形引流.pptVIP

4. Mixed Type Problems with Mixed Type:· No pulmonary venous confluence· Requires 2 or more anastomosis· Smaller anastomosis predispose to pulmonary venous obstruction · Risk of mortality and late pulmonary venous obstruction is increased · Operative repair probably not curative Post operative : Pulmonary hypertensive crisis…. Sedation, ventilation, Fentanyl analgesia Pco2 (30mmHg) and high PO2 TNT, PGE1, Dobutamine, Tolazoline, Adrenaline etc….. Results· Early (hospital) mortality ranges from 2-20%· 90% of patients are cured· 5-10% have late failure of repair due to pulmonary venou