Mid- to long-term surgical outcomes of partial anomalous pulmonary venous connection
Mid- to long-term surgical outcomes of partial anomalous pulmonary venous connection
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部分肺静脉异位引流的中长期手术效果
DOI：
10.1007/s11748-020-01429-9
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发表时间：
2020
影响因子：
1.2
通讯作者：
Niinami Hiroshi
中科院分区：
文献类型：
--
作者：
Suzuki Kenji;Iwata Yusuke;Hiramatsu Takeshi;Matsumura Goki;Hoki Ryogo;Nakanishi Toshio;Sugiyama Hisashi;Yamagishi Masaaki;Niinami Hiroshi
目的探讨部分肺静脉异位连接（PAPVC）修复术后的中长期发病率和死亡率。方法回顾性分析1991年至2010年在东京女子医科大学医院连续接受手术的29例患者的病例。中位随访期：9.9 年。中位手术年龄：7.4 岁。中位体重：22.4 公斤。鉴定出右 PAPVC (n= 23)、左 PAPVC (n= 5) 和混合 PAPVC (n= 1)。 结果 在 14 例右上肺静脉 (PV) 连接至上腔静脉 (SVC) 和/或腔静脉-心房交界处的患者中，进行了以下操作：单补片分流 (n= 6)、双补片分流 (n= 4)、典狱长程序 (n= 1) 和心房壁房间隔 (n= 3)。在 9 例右房室异常连接到右心房 (RA) 和/或冠状窦的患者中，进行了心房内改道 (n=≥7) 和房间隔易位 (n=≥2)。进行左上和下PV的心房内改道至冠状窦（n= 1）以及左上PV与左心耳的直接吻合（n= 4）。对一名混合 PAPVC 患者进行了双补片改道和左上 PV 与左心耳的直接吻合。尽管发生了短暂性窦房结功能障碍（n= 2 伴有房间隔和心房内改道），但发生了 SVC 轻度狭窄（n= 1 具有双补片改道），但没有发生术后死亡或再次手术。 结论 我们用于 PAPVC 修复的各种方法似乎都有合理的结果，尽管心律紊乱和狭窄并发症 在少数患者中得到证实。
ObjectiveTo investigate mid- to long-term morbidity and mortality after the repair of partial anomalous pulmonary venous connections (PAPVCs).MethodsWe retrospectively analyzed the cases of 29 consecutive patients who underwent surgery in 1991–2010 at Tokyo Women's Medical University Hospital. Median follow-up period: 9.9 years. Median age at operation: 7.4 years. Median body weight: 22.4 kg. Right PAPVC (n= 23), left-PAPVC (n= 5), and mixed PAPVC (n= 1) were identified.ResultsIn the 14 patients with a right upper pulmonary vein (PV) connected to the superior vena cava (SVC) and/or cavo-atrial junction, the following were performed: single-patch diversion (n= 6), double-patch diversion (n= 4), Warden procedure (n= 1), and atrial septation with the atrial wall (n= 3). In the nine patients with a right anomalous PV connected to the right atrium (RA) and/or coronary sinus, intra-atrial rerouting was performed (n= 7) and translocation of the atrial septum (n= 2). Intra-atrial rerouting of the left upper and lower PVs to the coronary sinus (n= 1) and direct anastomosis of the left upper PV to the left atrial appendage (n= 4) were performed. Double-patch diversion and direct anastomosis of the left upper PV to the left atrial appendage was performed in a patient with mixed PAPVC. There were no post-operative deaths or reoperations, although transient sinus node dysfunction occurred (n= 2 with atrial septation and intra-atrial rerouting), while mild stenosis of the SVC occurred (n= 1 with double-patch diversion).ConclusionsThe various methods which we used for PAPVC repair all appear to have reasonable outcomes, although rhythm disturbance and stenotic complications were confirmed in a few patients.
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影响因子：
0.9
作者：
J. Fragata;M. Magalhães;L. Baquero;C. Trigo;F. Pinto;I. Fragata
通讯作者：
I. Fragata
高位房间隔缺损[J].
DOI：
10.1016/s0096-5588(20)30173-2
发表时间：
1958
期刊：
The Journal of thoracic surgery
影响因子：
--
作者：
F. Lewis
通讯作者：
F. Lewis
影响因子：
6
作者：
M. Puig;M. Murtra;J. Revuelta
通讯作者：
J. Revuelta
通过最小心房切开术修复部分异常肺静脉连接。
DOI：
10.1007/bf03218158
发表时间：
2000
期刊：
The Japanese Journal of Thoracic and Cardiovascular Surgery
影响因子：
--
作者：
Masaaki Yamagishi;K. Fujiwara;H. Yaku;Yukio Wada;Nobuo Kitamura
通讯作者：
Nobuo Kitamura
影响因子：
4.6
作者：
WILLIAMS, WH;ZORNCHELTON, S;HATCHER, CR
通讯作者：
HATCHER, CR