Cardiac-type total anomalous pulmonary venous return is not benign
Cardiac-type total anomalous pulmonary venous return is not benign
复制标题
DOI：
10.1016/j.jtcvs.2022.03.036
复制
发表时间：
2023-01-11
影响因子：
6
通讯作者：
Chen, Huiwen
中科院分区：
文献类型：
--
作者：
Shi, Guocheng;Zhu, Fang;Chen, Huiwen
目的：本研究的目的是探讨心脏完全性肺静脉异位引流（TAPVC）患者的形态学变化与术后肺静脉（PV）狭窄（PPVS）之间的关系。研究方法：这项单中心、回顾性研究纳入了168例在2013年至2019年接受心脏TAPVC手术修复的儿科患者（连接至冠状窦[CS]，n = 136;直接连接至右心房[RA]，n = 32）。进行三维计算机断层扫描建模和几何分析以研究形态学特征;检查它们与PPVS的相关性。结果如下：连接类型与PPVS无关（CS型：18% vs右房型：19%; P = 0.89），但单肺静脉开口患者的PPVS发生率高于>1个开口患者（P
Objective: The objective of this study was to investigate the association between morphological variation and postsurgical pulmonary vein (PV) stenosis (PPVS) in patients with cardiac total anomalous pulmonary venous connection (TAPVC). Methods: This single-center, retrospective study included 168 pediatric patients who underwent surgical repair of cardiac TAPVC from 2013 to 2019 (connection to the coronary sinus [CS], n = 136; connection directly to the right atrium [RA], n = 32). Three-dimensional computed tomography modeling and geometric anal-ysis were performed to investigate the morphological features; their relevance to the PPVS was examined. Results: The connection type had no association with PPVS (CS type: 18% vs right atrial type: 19%; P = .89) but there was a higher incidence of PPVS in patients with a single PV orifice than>1 orifice (P