Welton M. Gersony, Frederick O. Bowman Jr, Carl N. Steeg, Constance J. Hayes, Mary Jane Jesse, James R. Malm
Columbia University College of Physicians & Surgeons and Presbyterian Hospital.
United States
Circulation
Circulation 1971; 43: I19-I24
DOI: 10.1161/01.cir.43.5s1.i-19
Abstract
Ten consecutive babies ranging in age from two weeks to five months, with total anomalous pulmonary venous drainage and pulmonary artery hypertension, have undergone surgical correction. Seven have survived, including five of six with supracardiac type and two of three with pulmonary venous drainage to the coronary sinus. Six of the last seven operations have been successful, and there have been no late deaths in the series. Factors considered to be important in successful management include: (1) early cardiac catheterization and surgical intervention; (2) high-flow buffered blood perfusion at normothermia; (3) surgical technique aimed at wider common pulmonary vein-left atrial anastomosis; (4) use of indwelling nasotracheal tube with respiratory support for the initial 24 to 48 hours postoperatively; (5) restricted fluid administration in the early postsurgical period; and (6) detailed attention to acid-base balance.
Category
Stenosis or Obstruction of Pulmonary Veins Following Surgical Repair of Anomalous Pulmonary Venous Connections
Surgical Interventions to Prevent or Limit Disease Associated with Repair of Anomalous Pulmonary Venous Connections or Heart Transplantation
Year of Publication: 1971
Age Focus: Pediatric
Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)
Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No