Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous Connection
Background: The mortality rates following surgical correction of Total anomalous pulmonary venous connection (TAPVC) have shown improvement due to advancements in surgical techniques. Objectives: This work aimed to analyze the early and midterm outcomes of TAPVC single-stage surgical repair and to...
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South Valley University, Faculty of Medicine
2024-07-01
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| Series: | SVU - International Journal of Medical Sciences |
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| Online Access: | https://svuijm.journals.ekb.eg/article_383891.html |
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| author | Sandy Adel Karam Mosallam Eisa Mohamed Adel Elgamal Asmaa Gaber Rizk |
| author_facet | Sandy Adel Karam Mosallam Eisa Mohamed Adel Elgamal Asmaa Gaber Rizk |
| author_sort | Sandy Adel |
| collection | DOAJ |
| description | Background: The mortality rates following surgical correction of Total anomalous pulmonary venous connection (TAPVC) have shown improvement due to advancements in surgical techniques.
Objectives: This work aimed to analyze the early and midterm outcomes of TAPVC single-stage surgical repair and to identify the risk of morbidity and mortality.
Patients and methods: This prospective study was carried out on 27 TAPVC patients who underwent different single-stage surgical techniques. The extracardiac type was treated with side-to-side anastomosis and vertical vein ligation, while the cardiac type required cutting back to the coronary sinus, intraoperative data, postoperative course, mortality rate, and complications were collected and analyzed.
Results: 27 patients with ages ranged from 0.26 to 84 months, 51.85% were males while 48.15% were females. Mortality occurred in 9 (33.33%) patients due to cardiac arrest during anesthesia induction in 1 (3.7%) patient, sepsis in 2 (7.41%) patients, LCOP in 4 (14.81%) patients and pulmonary hypertensive crisis in 2 (7.41%) patients. Postoperative complications were pneumothorax in 2 (7.41%) patients, pulmonary edema in 1 (3.7%) patient, re-intubation in 2 (7.41%) patients, pneumonia in 1 (3.7%) patient, fits in 2 (7.41%) patients, thrombocytopenia in 1 (3.7%) patient, bleeding from ETT in 1 (3.7%) patient, LCOP in 5 (18.52%) patients, pulmonary hypertensive crisis in 3 (11.11%) patients, cardiac arrest in 1 (3.7%) patient, renal failure in 1 (3.7%) patient and no complication in 14 (51.85%) patients. Re-opening occurred in 1 (3.7%) patient. Sepsis occurred in 2 (7.41%) patients. The mean postoperative bleeding was 109.8 ±77.6 ml.
Conclusion: The high morbidity and mortality associated with TAPVC single-stage repair, emphasizing the need for careful preoperative evaluation and perioperative management. |
| format | Article |
| id | doaj-art-214fc4ea4e124d63968261fec992a416 |
| institution | Kabale University |
| issn | 2735-427X 2636-3402 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | South Valley University, Faculty of Medicine |
| record_format | Article |
| series | SVU - International Journal of Medical Sciences |
| spelling | doaj-art-214fc4ea4e124d63968261fec992a4162025-02-06T10:59:28ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022024-07-0172617629https://doi.org/10.21608/svuijm.2024.270729.1809Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous ConnectionSandy Adel 0 Karam Mosallam Eisa 1Mohamed Adel Elgamal2 Asmaa Gaber Rizk3Cardiothoracic Surgery Department, Faculty of Medicine, South Valley University, Qena, EgyptCardiothoracic Surgery Department, Faculty of Medicine, South Valley University, Qena, EgyptCardiothoracic Surgery Department, Faculty of Medicine, Mansoura University, Mansoura, EgyptGeneral Surgery Department, Faculty of Medicine, South Valley University, Qena, EgyptBackground: The mortality rates following surgical correction of Total anomalous pulmonary venous connection (TAPVC) have shown improvement due to advancements in surgical techniques. Objectives: This work aimed to analyze the early and midterm outcomes of TAPVC single-stage surgical repair and to identify the risk of morbidity and mortality. Patients and methods: This prospective study was carried out on 27 TAPVC patients who underwent different single-stage surgical techniques. The extracardiac type was treated with side-to-side anastomosis and vertical vein ligation, while the cardiac type required cutting back to the coronary sinus, intraoperative data, postoperative course, mortality rate, and complications were collected and analyzed. Results: 27 patients with ages ranged from 0.26 to 84 months, 51.85% were males while 48.15% were females. Mortality occurred in 9 (33.33%) patients due to cardiac arrest during anesthesia induction in 1 (3.7%) patient, sepsis in 2 (7.41%) patients, LCOP in 4 (14.81%) patients and pulmonary hypertensive crisis in 2 (7.41%) patients. Postoperative complications were pneumothorax in 2 (7.41%) patients, pulmonary edema in 1 (3.7%) patient, re-intubation in 2 (7.41%) patients, pneumonia in 1 (3.7%) patient, fits in 2 (7.41%) patients, thrombocytopenia in 1 (3.7%) patient, bleeding from ETT in 1 (3.7%) patient, LCOP in 5 (18.52%) patients, pulmonary hypertensive crisis in 3 (11.11%) patients, cardiac arrest in 1 (3.7%) patient, renal failure in 1 (3.7%) patient and no complication in 14 (51.85%) patients. Re-opening occurred in 1 (3.7%) patient. Sepsis occurred in 2 (7.41%) patients. The mean postoperative bleeding was 109.8 ±77.6 ml. Conclusion: The high morbidity and mortality associated with TAPVC single-stage repair, emphasizing the need for careful preoperative evaluation and perioperative management.https://svuijm.journals.ekb.eg/article_383891.htmlearly and midterm outcome surgical repairtapvc morbidity mortality |
| spellingShingle | Sandy Adel Karam Mosallam Eisa Mohamed Adel Elgamal Asmaa Gaber Rizk Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous Connection SVU - International Journal of Medical Sciences early and midterm outcome surgical repair tapvc morbidity mortality |
| title | Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous Connection |
| title_full | Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous Connection |
| title_fullStr | Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous Connection |
| title_full_unstemmed | Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous Connection |
| title_short | Early and Midterm Outcome of Surgical Repair of Total Anomalous Pulmonary Venous Connection |
| title_sort | early and midterm outcome of surgical repair of total anomalous pulmonary venous connection |
| topic | early and midterm outcome surgical repair tapvc morbidity mortality |
| url | https://svuijm.journals.ekb.eg/article_383891.html |
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