Kết quả phẫu thuật bệnh tĩnh mạch phổi trở về bất thường toàn bộ tại Bệnh viện tim Hà nội

Xuan Huy Dinh , Sinh Hien Nguyen, Quang Vinh Dao, Quoc Hung Doan

Main Article Content

Abstract

Background: Total anomalous pulmonary venous connection (TAPVC) in a group patients have not been evaluated. We reviewed the patients under 15 years old, who suffered from repair of TAPVC from 2014 to 2019 at Ha Noi Heart Hospital. The impact of current surgical and perioperative management strategies on short-term is evaluated. Methods. We reviewed retrospectively 58 cases of surgical intervention for TAPVC conducted between January 2014 and December 2019. Results. Four anatomic subtypes of TAPVC were included in this study: supracardiac (45 cases, 77,6%), cardiac (12 cases, 20,7%), infracardiac (0 case, 0%), and mixed (1 case, 1,7%). Medium age was 25,22 months (6 days to 180 months). Medium weight was 8,71±7,66 kg (2,6 kg to 40 kg). Two (3,4%) early mortalities occurred, as well as 2 (3,4%) cases of under 12 months, pulmonary venous obstruction, urgent operation, hypertention pulmonary artery crisis and long time of clamp Ao, long time of postoperative ventilator care. Conclusion. Repair of TAPVC in a group patients under 15 years old at Ha Noi Heart Hospital from 2014 to 2019 may be encourage. This result need more patients and longtime follow up to evaluate better


 

Article Details

References

1. Reller MD, Strickland MJ, RiehleColarusso T, et al (2008). Prevalence of congenital heart defects in metropolitan Atlanta, 1998-2005. J Pediatr. 153: 807.
2. Ward KE, Mullins CE (1998). Anomalous pulmonary venous connections, pulmonary vein stenosis, and atresia of the common pulmonary vein. The Science and Practice of Pediatric Cardiology, Garson A Jr, Bricker JT, Fisher DJ, Neish SR (Eds), Williams and Wilkins, Baltimore 1998. 1431.
3. Phan Kim Phương, Nguyễn Minh Trí Viên, Nguyễn Thị Quí và cộng sự (1996). Hồi lưu tĩnh mạch phổi bất thường hoàn toàn. Hội nghị tim mạch quốc gia Việt Nam lần thứ 6. 2-8
4. Nguyễn Lý Thịnh Trường, Nguyễn Tuấn Mai, Nguyễn Thanh Sơn và cộng sự (2018). Surgical results for obstructed total anomalous pulmonary venous return in a single institution. The Journal of Cardiovascular Surgery. Volume 99 Suppl 2. No 3 June 2018.
5. Van der Velde ME, Parness IA, Colan SD, et al (1991). Two-dimensional echocardiography in the pre- and postoperative management of totally anomalous pulmonary venous connection. J Am Coll Cardiol. 18: 1746.
6. Kim TH, Kim YM, Suh CH, et al (2000). Helical CT angiography and threedimensional reconstruction of total anomalous pulmonary venous connections in neonates and infants. AJR Am J Roentgenol. 175: 1381.
7. Hancock Friesen CL, Zurakowski D, Thiagarajan RR, et al (2005). Total anomalous pulmonary venous connection: an analysis of current management strategies in a single institution. Ann Thorac Surg. 79: 596.
8. David G, Ross M, Philip J, et al (2006). “Total Anomalous Pulmonary Venous Return”. Critical heart diseases in infants and children. Mosby Elsevier, 699 - 715.
9. Meadows J, Marshall AC, et al (2006). A hybrid approach to stabilization and repair of obstructed total anomalous pulmonary venous connection in a critically ill newborn infant. J Thorac Cardiovasc Surg. 131: 11.
10. Seale AN, Uemura H, Webber SA, et al (2010). Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation. 122: 2718.
11. Guocheng Shi, Zhongqun Zhu, Jimei Chen, et al (2017). Total anomalous Pulmonary Venous connection the current Management strategies in a Pediatric cohort of 768 Patients. Circulation.135: 48-58.