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Complications of TAPVC repair

Total Anomalous Pulmonary Venous Connection (TAPVC

Most adults with repaired TAPVC will not need to limit their physical activities to their own endurance. Some competitive sports may have greater risk if there is leftover obstruction in the pulmonary veins, or if the patient has heart rhythm problems. Your cardiologist will help determine the proper level of activity for you Patients with obstructed TAPVR (total anomalous pulmonary venous return) are extremely ill soon after birth. These children are severely cyanotic. They also have respiratory problems, with rapid breathing, grunting and retractions of the rib cage muscles This surgery is needed to fix the symptoms of TAPVR, which can be severe. Because of the decreased oxygen in the blood, your baby might turn a bluish color and have problems breathing. In some infants, these symptoms develop right away. If the TAPVR is less severe, symptoms might not develop until a little later Objective: Recurrent pulmonary venous obstruction (PVO) occurs in 0-18% of infants undergoing correction of total anomalous pulmonary venous connection (TAPVC). Limited published data suggest that PVO usually develops within 6 months of primary repair, and that outcomes of reoperations are poor Most of the children who undergo TAPVC repair and ASD closure are able to grow and develop normally. Abnormal cardiac rhythm and obstruction in the pulmonary veins are the two post-surgical complications that may rarely occur

TAPVR - Total Anomalous Pulmonary Venous Return Repair

Surgical Repair of Total Anomalous Pulmonary Venous Connection Kirk R. Kanter The diagnosis of total anomalous pulmonary venous connection (TAPVC) is made when all four pulmonary veins drain anomalously to the right atrium or to a tributary of the systemic veins. It constitutes between 1% and 1.5% of all children with congenital heart disease an The technique allows the primary sutureless repair of TAPVC to be done in a less bloody field under full-flow cardiopulmonary bypass. We have performed this technique in our recent 5 consecutive TAPVC patients without significant complications Children with obstructed TAPVC will present more with respiratory issues, hypoxia and even low cardiac output, as well as pulmonary artery hypertension. Occasionally, infants with obstructed TAPVC are referred for extracorporeal membrane oxygenation (ECMO) caused by respiratory failure or pulmonary hypertension Haworth 13 showed that in infracardiac TAPVC, prenatal structural changes in the extrapulmonary veins may predispose to the later development of PVO despite a successful surgical repair. Other groups have suggested that a small left atrium 14 or confluence morphology 1, 15 may predispose to subsequent PVO

Surgery for Total Anomalous Pulmonary Venous Return for

  1. Figure 2 A, Kaplan-Meier curves of survival between patients with infracardiac total anomalous pulmonary venous connection (TAPVC) undergoing conventional repair (CR) and sutureless technique (ST). B, Freedom from diagnosis of postrepair pulmonary vein stenosis between patients with infracardiac TAPVC undergoing CR and ST. CI, Confidence interval
  2. Total anomalous pulmonary venous return (TAPVR) is a birth defect of the heart. In a baby with TAPVR, oxygen-rich blood does not return from the lungs to the left atrium. Instead, the oxygen-rich blood returns to the right side of the heart. Here, oxygen-rich blood mixes with oxygen-poor blood
  3. Total anomalous pulmonary veins (TAPV) refers to an anomaly in which all of the pulmonary veins connect directly or indirectly to the systemic venous circulation. Though several classification schemes have been described, Darling's remains the most commonly used: type I (supracardiac drainage), type II (intracardiac drainage), type III (infradiaphragmatic drainage), and type IV (mixed drainage.

Postoperative pulmonary hypertensive crisis is an important problem in the resuscitation after repair of TAPVC. Hypoxemia, metabolic acidosis, pain relief cause insufficient sleep or endotracheal suction all increase the likelihood of pulmonary vascular constriction and trigger pulmonary hypertensive crises The types of TAPVC were supracardiac type in 3 patients and infracardiac type in 2 patients. There were no significant postoperative complications or mortality. There has been no evidence of pulmonary vein stenosis at discharge and during a median follow-up of 5.2 months (range, 2.5 to 8.4 months) (Fig 2) There are different surgical techniques employed in re-routing of supracardiac total anomalous pulmonary venous connection (TAPVC) with varying degrees of outcome. This study was designed to analyse the clinical data of patients who underwent Tucker's repair and to demonstrate potential advantages of this technique. The clinical records of patients who underwent Tucker's repair from. 1 Introduction. Pulmonary venous obstruction (PVO) occurs in 0-18% of the patients undergoing repair of total anomalous pulmonary venous connection (TAPVC) .Despite recent advances in surgical technique and perioperative care, this disease remains poorly understood and its prevention elusive Several techniques have been proposed for the surgical repair of both PAPVC and TAPVC. Whereas the first is normally corrected without complications, TAPVC still carries significant morbidity and mortality in low volume centers, due to the severe hemodynamic and metabolic compromise at presentation

Management of pulmonary venous obstruction after

TAPVC: Causes, Surgery, Symptoms and Recovery MediGenc

TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION (TAPVC)

Surgical Repair of Total Anomalous Pulmonary Venous Connectio

  1. A: Because of TAPVC oxygen-rich blood in the pulmonary veins blends with oxygen-poor blood in the right atrium. Section of the mix passes through the atrial septal defect into the left atrium into the body. The remaining part of the blood flows through the ideal ventricle, in the pulmonary artery, and on to the lungs
  2. Retrocardiac Repair of Total Anolna]ous Puhnonary Venous Connection Constantine Mavroudis and Carl L. Backer S urgical repair of total anomalous pnhnonary ve- nous connection (TAPVC) has involved a number of techniques using various strategies of cardiopul- monary bypass and circulatory arrest, methods o
  3. Some postoperative complications are related to the exact surgery that you have had, but many (such as wound infection) may occur after any kind of surgery. The most common postoperative complications include fever, small lung blockages, infection, pulmonary embolism (PE) and deep vein thrombosis (DVT)
  4. Introduction: The diagnosis of total anomalous pulmonary venous connection (TAPVC) is made when all four pulmonary veins drain anomalously to the right atrium or to a tributary of the systemic veins. It accounts for 1% to 1.5% of all congenital heart diseases. Supra cardiac TAPVC is the most common type of TAPVC that accounts for 45 to 55% of all TAPVCs

Primary Sutureless Repair of Total Anomalous Pulmonary

The mortality of Norwood procedure and TAPVC repair were over 10%. These difficult operations were mainly performed at relatively high-volume institutions. Using the data from JCVSD, the national data of congenital heart surgery, including postoperative complications, were analyzed A defect in the veins leading from the lungs to the heart. In TAPVC, the blood does not take the normal route from the lungs to the heart and out to the body. Instead, the veins from the lungs attach to the heart in abnormal positions and this problem means that oxygenated blood enters or leaks into the wrong chamber

The diagnosis of total anomalous pulmonary venous connection (TAPVC) is made when all four pulmonary veins drain anomalously to the right atrium or to a tributary of the systemic veins. It constitutes between 1% and 1.5% of all children with congenital heart disease and can be categorized by the site of drainage into the systemic circulation (supracardiac, 45%; infracardiac, 25%; cardiac, 25%. Pulmonary vein stenosis (PVS) after surgical repair of total anomalous pulmonary venous connection (TAPVC) causes incremental mortality and morbidity.1 The prevalence of postrepair PVS ranges from 10% to 20%,2 and patients with infracardiac connection subtype are reported to be at a high risk for restenosis.3 Postrepair PVS is characterize TAPVC. Postoperative complications can include pulmonary hypertension, cardiac arrhythmias, PVO, and failure to wean from the bypass. Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study. Circulation. Surgical repair of an isolated left-sided partial anomalous pulmonary venous. • Total Anomalous Pulmonary Venous Connection TAPVC is a congenital heart defect in which the pulmonary veins do not connect normally to the left atrium. Instead they connect to the right atrium, often by way of a systemic vein. • Relatively rare, it occurs in about 1 in 17,000 live births.(Fulton,2008). • ASD or foramen ovale always present

She later underwent successful repair of her supracardiac TAPVC with ASD closure and LPA angioplasty. Discussion Total anomalous pulmonary venous connection is a cyanotic congenital heart defect in which the pulmonary veins fail to connect appropriately to the left atrium, resulting in pulmonary venous return to the systemic venous circulation Following repair, the infant required percutaneous dilatation of the right upper pulmonary vein and stenting of left atrial anastomosis. He has subsequently undergone complex ventricular switch, as described by our group, 6 to convert him from a single ventricle circulation to a 1.5 ventricle circulation. Importantly, following TAPVR repair. Total anomalous pulmonary venous connection (TAPVC) is a potentially devastating form of congenital heart disease in which all pulmonary blood flow returns to the systemic venous circulation rather than the left atrium

Total Anomalous Pulmonary Venous Connection Circulatio

  1. Possible complications after surgery include obstruction at the site of the repair, development of pulmonary artery hypertension, and later (during adulthood), abnormal heart rhythms such as atrial flutter and sick sinus syndrome. SBE prophylaxis: An increased risk for subacute bacterial endocarditis (SBE) following repair of APVR may be present
  2. Thorac Cardiovasc Surg Pediatr Card Surg Annu p. 40-44. 2. Stein P (2007) Total anomalous pulmonary venous connection. AORN J 85:509-520. 3
  3. Total anomalous pulmonary venous connection (TAPVC), also referred to as total anomalous pulmonary venous return (TAPVR), is a cyanotic congenital defect in which all four pulmonary veins fail to make their normal connection to the left atrium. This results in drainage of all pulmonary venous return into the systemic venous circulation
  4. Total anomalous pulmonary venous connection (TAPVC) is an anomaly where the pulmonary veins are directly connected to one of the systemic veins or to the right atrium. The most common classification of this condition is by Craig, Darling, and Rothney, which is based on the anatomic site of the abnormal connection
  5. POSTOPERATIVE PULMONARY COMPLICATIONS BY W. R. MACRAE AND A. H. B. MASSON Department of Anaesthetics, Royal Infirmary and Edinburgh University, Edinburgh SUMMARY The most serious postoperative complication following complete repair of supracardiac total anomalous pulmonary venous connection is pulmonary oedema. 24-36 hours ma
  6. 52 Kirshbom PM, Myung RJ, Gaynor JW, et al. Preoperative pulmonary venous obstruction affects long-term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg 2002;74:1616-1620. Crossref, Medline, Google Scholar; 53 Boger AJ, Baak R, Lee PC, Boersma E, Meijboom FJ, Witsenburg M. Early results and long.
  7. Introduction: In this study, we present our fifteen years of outcomes following surgical repair total anomalous pulmonary venous connection. Thereby we sought to assess possible risk factors effects both hospital and late term follow up morbidity and mortality. Material and Methods: A retrospective study was carried out in the Department of Cardiovascular Surgery of the Ege University Hospital.

The efficacy of primary sutureless repair for supracardiac total anomalous pulmonary venous connection (TAPVC) needs to be confirmed. This study aimed to compare the long-term outcomes between the conventional surgery and the sutureless technique with a modified approach in superior TAPVC. Between January 2008 and December 2018, 173 patients with supracardiac TAPVC underwent surgery either. Total anomalous pulmonary venous return. Total anomalous pulmonary venous return (TAPVR) is a heart disease in which the 4 veins that take blood from the lungs to the heart do not attach normally to the left atrium (left upper chamber of the heart). Instead, they attach to another blood vessel or the wrong part of the heart Total anomalous pulmonary venous connection, also known as total anomalous pulmonary venous return, is a rare cyanotic congenital heart defect in which all four pulmonary veins are malpositioned and make anomalous connections to the systemic venous circulation. (Normally, pulmonary veins return oxygenated blood from the lungs to the left atrium.

Early complications of TAPVC repair are usually related to increased pulmonary vascular resistance and pulmonary hypertension. The major postoperative complication of repair of TAPVC is the development of late postrepair pulmonary venous stenosis, which occurs in up to 10% of repairs Background: In this study, we aimed to investigate the incidence and treatment of pulmonary vein stenosis after repair of total anomalous pulmonary venous connection. Methods: Between December 2010 and December 2016, a total of 40 patients (25 males, 15 females; mean age 45±41 days; range, 2 days to 6 months) who underwent total anomalous pulmonary venous connection repair were. Total anomalous pulmonary venous connection (TAPVC) is a complex congenital heart disease, requiring surgical repair. Pulmonary venous obstruction (PVO) is the major complication, with limited effective reinterventions and poor outcomes. This trial aims at investigating that postoperative anticoagulant management reduce the incidence of PVO

Incidence and treatment of pulmonary vein stenosis after repair of total anomalous pulmonary venous connection TAPVC was observed in a total of 12 patients (30%) and most of them were infracardiac type. Eighteen (45%) of the patients were supracardiac, seven (17.5%) were cardiac, eight (20%) were infracardiac, and seve A meta-analysis was performed to compare the differences in outcomes between sutureless technique and conventional surgery for primary repair of Total Anomalous Pulmonary Venous Connection(TAPVC). Electronic databases, including PubMed, EMbase, Medline, CNKI, Wanfang Data and Weipu Data were searched systematically for the literature aimed mainly at comparing the therapeutic effects for. Total anomalous pulmonary venous connection is a rare congenital heart defect. We report an infant with a mixed form of supracardiac TAPVC, in whom all pulmonary veins, except the right upper, entered a pulmonary venous confluence that is connected to a vertical vein and drained into the superior vena caval-right atrial junction The small size of the pulmonary veins in infants increases the risk of pulmonary vein obstruction (PVO) after surgical repair of type IV total anomalous pulmonary venous connection (TAPVC). Here, we described the outcomes of our strategy, which delayed total correction after initial partial correction. We reviewed the data of patients who underwent total correction for type IV TAPVC

Routine TAPVC correction and tricuspid valve repair were done. Additionally, venoctomy was carried out to seek for its histological etiology and to avoid potential complications. If confirmed by further and larger experiences, for patients with non-obstructed supracardiac TAPVC with giant SVC aneurysm, surgical treatment of SVC aneurysm could. Total anomalous pulmonary venous connections seminar ppt. 1. TOTAL ANOMALOUS PULMONARY VENOUS CONNECTIONS 2. Defination TAPVC is the anomaly in which the pulmonary veins have no connection with the left atrium.Rather,the pulmonary veins connect directly to one of the systemic veins.A PFO or ASD is present essentially in those who survive after birth (obligatory shunt). When pulmonary veins. Typically, the package cost of TAPVC in India includes the expenses related to the surgeon's fee, anesthesia, hospital, meals, nursing and ICU stay. Stay outside the package duration, post-operative complications and diagnosis of a new condition may further increase the TAPVC cost in India Abstract. OBJECTIVES. Our objectives were to identify the risk factors for postoperative complications after paediatric cardiac surgery, develop a tool for pre Objectives . Total anomalous pulmonary venous connection (TAPVC) is a rare congenital heart disease. This study aimed to evaluate the outcomes of TAPVC repair in neonates, controlling for anatomic subtypes and surgical techniques. Methods . Between 1997 and 2013, 88 patients (median age: 16 days) underwent repair for supracardiac (31), cardiac (18), infracardiac (36), or mixed (3) TAPVC

This study examines multiinstitutional experience with TAPVC repair in infants with heterotaxy using a national clinical registry. METHODS: The Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD) (2002-2012) was queried for patients with heterotaxy syndrome who underwent TAPVC repair, with or without concomitant procedures. Repair of a mixed form of supracardiac total anomalous pulmonary venous connection Yuki Kawasaki1,2, John N. Dentel 3, Henry L. Walters III , James M. Galas1 and Daisuke Kobayashi1 1Division of Cardiology, Children's Hospital of Michigan, Department of Paediatrics, Wayne State University Schoo After repair, your doctor will schedule regular medical follow-up to ensure that the ventricular septal defect remains closed and to look for signs of complications. Depending on the size of the defect and the presence of other problems, your doctor will tell you how frequently you or your child will need to be seen

ICD-9-CM Vol. 3 Procedure Codes. 35.82 - Total repair of total anomalous pulmonary venous connection. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products Total anomalous pulmonary venous connection (TAPVC) Out of 10 cases of TAPVC for whom epicardial echo was done, one case of infracardiac type of TAPVC had significant stenosis at the anastamosis site. Repair of stenosis was done immediately. In all the remaining cases the repair was adequate In patients with TAPVC, the mean indexed sum of pulmonary vein diameters was lower among patients who died than in survivors (42.3 +/- 8.3 vs 49.5 +/- 10.1 mm/m2; p = 0.02). Mortality remains high among patients with heterotaxy treated in the modern surgical era, particularly those with obstructed TAPVC Routine TAPVC correction and tricuspid valve repair were done. Additionally, venoctomy was car- ried out to seek for its histological etiology and to avoid potential complications TOTAL ANOMALOUS PULMONARY VENOUS. CONNECTION Definition TAPVC is the anomaly in which the pulmonary veins have no connection with the left atrium.Rather,the pulmonary veins connect directly to one of the systemic veins.A PFO or ASD is present essentially in those who survive after birth (obligatory shunt). When pulmonary veins drain anomalously into the righ

On the first day of life she underwent emergent surgical repair of her congenital cardiac lesion. After weaning from cardiopulmonary bypass, systemic blood pressure is 53/31 mmHg, PA pressure 57/29 mm Hg and left atrial pressure is 13 mm Hg. An arterial blood gas showed a pH = 7.47, pCO2 33 mm Hg, paO2 72 mm Hg Total anomalous pulmonary venous connection (TAPVC) is an anomaly in which the pulmonary veins are directly connected to one of the systemic veins or drain into the right atrium. Management of pulmonary hypertension after the total correction of this congenital cardiac anomaly is very important Total anomalous pulmonary venous connection (TAPVC) constitutes 1-1.5% of children with congenital heart disease. Surgical outcomes of isolated TAPVC have improved with an operative mortality of as low as 10%, however, postoperative pulmonary artery hypertension can be problematic especially in obstructed TAPVC. Etiology of pulmonary hypertension could range from pulmonary venous. DISCUSSION: In the early postoperative period after repair of obstructed forms of TAPVC, acute episodes of pulmonary hypertension may develop as a response to stress. To minimize this potentially fatal complication, infants are kept anesthetized with fentanyl and pancuronium for at least 48 hours The mortality of Norwood procedure and TAPVC repair were over 10%. These difficult operations were mainly performed at relatively high-volume institutions. Conclusion: Using the data from JCVSD, the national data of congenital heart surgery, including postoperative complications, were analyzed

The most serious postoperative complication following complete repair of supracardiac total anomalous pulmonary venous connection is pulmonary oedema. 24-36 hours may elapse before frank pulmonary oedema appears and active measures must be instituted early to combat this complication. Given temporary assistance, the body is capable of adapting to the altered haemodynamic situation TAPVC, even though are difficult to diagnose, have better prognosis with straightforward surgical repair. Surgical repair of TAPVC associated with other complex anomalies and syndromes, as reported in case 2 maybe associated with unfavorable prognosis [7]. Conclusion Total anomalous pulmonary venous connection has always been a challenging.

Total anomalous pulmonary venous connection refers to a spectrum of cardiac anomalies where the pulmonary veins fail to return to the left atrium and the pulmonary venous surgical repair, and outcomes. and approach to postoperative complications. Keywords congenital heart disease, pediatric intensive care, neonate. References. 1. Seale. Horer J, Neuray C, Vogt M, et al. What to expect after repair of total anomalous pulmonary venous connection: data from 193 patients and 2902 patient years. Eur J Cardiothorac Surg 2013;44:800-7. Sinzobahamvya N, Arenz C, Brecher AM, et al 4. . Surgical repair of total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2006:40-4. 5. Kagisaki K, . Total anomalous pulmonary venous connection. Kyobu Geka 2004; 57(8 Suppl):698-703. 6. Lei YS, Guo LM, Zou CW, Wang AB, Zhang HZ. Clinical analysis of 24 supracardiac total anomalou

Single-institution outcomes of surgical repair of

In TAPVC, the blood does not take the normal route from the lungs to the heart and out to the body. Instead, the veins from the lungs attach to the heart in abnormal positions and this problem means that oxygenated blood enters or leaks into the wrong chamber. When surgical repair is done in early infancy, the long-term outlook is very good. patch repair and two were managed with Warden's technique. operative procedures. However', repair of total anomalous pulmonary venous connection (TAPVC) to SVC is challenging. The problem is further compounded by the common occur-rence of postoperative complications like arrhythmias and obstruction of the SVC or pulmonary veins.1e The surgical repair is extensive and requires heart-lung bypass. This repair is usually done at a couple days of age. Postoperative hospital stay averages 10 to 14 days. Total anomalous pulmonary venous connection (TAPVC) accounts for approximately 1 percent of all CHD. With this defect, the pulmonary veins that normally bring blood to the left. Total anomalous pulmonary venous return (TAPVR) is a congenital heart defect. This means that your child is born with it. It happens as the baby's heart develops during the first 8 weeks of pregnancy. In this condition, the 4 blood vessels (pulmonary veins) that carry oxygen-rich (red) blood to the heart from the lungs aren't connected right

Post operative management after TAPVC repair.ppt - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online The infant underwent cardiothoracic surgery via thoracotomy to repair total anomalous pulmonary venous connection coexisting with a persistent left superior vena cava on day of life 17, and there was a significant increase in abdominal girth on postoperative day 12 (day of life 29) The success rate for Total Anomalous Pulmonary Venous Connection (TAPVC) Surgery in Indonesia is now extremely high given the recent advances in medical technology and surgeon experience. However, with any surgery, there is always the possibility of complications, such as infection, bleeding, numbness, swelling and scar tissue

Treatment of congenital heart disease

Congenital Heart Defects - Facts about TAVPR CD

Total anomalous pulmonary venous connection (TAPVC) is an anomaly where the pulmonary veins are directly connected to one of the systemic veins or to the right atrium. The most common classi cation of this condition is by Craig, Darling and Rothney, which is based on the anatomic site of the abnormal connection Partial anomalous pulmonary venous return, sometimes called partial anomalous pulmonary venous connection, is a heart defect present at birth (congenital) in which some of the pulmonary veins carrying blood from the lungs to the heart flow into other blood vessels or into the heart's upper right chamber (right atrium), instead of correctly entering the heart's upper left chamber (left atrium)

Total Anomalous Pulmonary Venous Connection

Background: Vertical vein is left patent in some cases of supra-cardiac total anomalous pulmonary venous connection (TAPVC) when there is hemodynamic instability due to noncompliant left atrium and ventricle. After the peri-operative period, this results in features of pre-tricuspid shunt. Materials and Methods: Three cases with patent vertical vein following repair of supra-cardiac TAPVC. Operative Repair and Complications o extracorporeal bypass and myocardial protection o incisions in the heart o techniques for defect closure o treatment of associated anomalies (e.g., cleft mitral valve) o complications of closure (e.g., air embolism, conduction abnormalities, residual defects) Outcom repair of the TAPVC was initiated within the first three hours of life (Figure 3(a)). To provide a sufficiently wide complications, advances in prenatal diagnosis and J. F. Smallhorn, and S.-J. Yoo, Partial and total anomalous pulmonary venous connection in the fetus: two-dimensional.

A 22 year-old male patient was admitted with supracardiac, nonobstructive, total anomalous pulmonary venous connection and large atrial septal defect. Cardiac catheterization revealed severe pulmonary hypertension due to pulmonary overflow (Qp/Qs 6, pulmonary vascular resistance = 1.6 Woods/m 2). Complete repair was performed through median. fluence to left atrial connection after repair of total anomalous pulmonary venous connection (TAPVC) that failed to decrease the pressure gradient or heart failure symptoms, requiring a redo surgery. In all angioplasty Bahaidarah et al. The Egyptian Heart Journal (2020) 72:83 Page 2 of It is a less favorable surgery because of its numerous complications. Atrial Switch Procedure . Total Anomalous Pulmonary Venous Connection (TAPVC) All patients with TAPVC will need surgical repair as soon as the diagnosis is made; this includes having the pulmonary veins re-implanted in the left atrium The presence of an interatrial communication is considered an integral part of the diagnosis of total anomalous pulmonary venous connection and is believed to be essential for survival. and disease complications in thalassemia major. TAPVC repair with postoperative extra- pulmonary venous connection and is believed to be corporeal. Total anomalous pulmonary venous connection (TAPVC) is an anomaly in which the pulmonary veins are directly vein patent at the time of TAPVC repair may afford better postoperative conditions by providing a temporary pop-off for pulmonary hypertensive crisis.5 Since the patient's complications due to residual left-to-right shunting

total anomalous pulmonary venous connection repair during infancy. Residual pulmonary abnormalities are common and associated with lower exercise perfor-mance. Neurologic abnormalities are evident in a subgroup, but the impact on late exercise performance is inconclusive. T otal anomalous pulmonary venous connection (TAPVC) presents with sev Total anomalous pulmonary venous connection (TAPVC) is a rare cyanotic congenital heart defect (CHD) in which all four pulmonary veins are malpositioned and make anomalous connections to the systemic venous circulation. (Normally, pulmonary venous return carries oxygenated blood to the left atrium and to the rest of the body)

Repair of Unusual Types of Total Anomalous Pulmonary Veins

Cardiac catheterization after congenital heart surgery may play an important role in the diagnosis and management of patients with a complicated or unusual post-operative course. The main objective of this study was to evaluate the safety, efficacy, and outcome of cardiac catheterization performed in the early post-operative period following congenital heart surgery The success rate for Total Anomalous Pulmonary Venous Connection (TAPVC) Surgery in Vietnam is now extremely high given the recent advances in medical technology and surgeon experience. However, with any surgery, there is always the possibility of complications, such as infection, bleeding, numbness, swelling and scar tissue

Congenital Heart Defects - Facts about TAVPR | CDC総肺静脈還流異常(TAPVC, TAPVR)について 出生時の診断と手術について 疾患34 - 誰でもわかる先天性心疾患TAPVC, Total Anomalous Pulmonary Venous Return, Obstructed

Total anomalous pulmonary venous connection (TAPVC) is a complex congenital heart disease, requiring surgical repair. Pulmonary venous obstruction (PVO) is the major complication, with limited effective reinterventions and poor outcomes. This trial aims at investigating that postoperative anticoagulant management reduce the incidence of PVO. 6120=Status post - PAPVC repair, Baffle redirection to left atrium with systemic vein translocation (Warden) (SVC sewn to right atrial appendage) Total Anomalous Pulmonary Venous Connection 4280=Status post - TAPVC repair 6200=Status post - TAPVC repair + Shunt - systemic-to-pulmonar Total anomalous pulmonary venous connection: results of surgical repair of 100 patients at a single institution. J Thorac Cardiovasc Surg. vol. 139. 2010. pp. 1387-94 The Tucker's Repair involves anastomosis between the roof of the left atrial appendage and the common pulmonary venous chamber on cardiopulmonary bypass without cardiac displacement.ResultsOut of 54 patients who presented with TAPVC, 34 (63.0 %) had supracardiac type, 8 (14.8 %) cardiac type, 3 (5.6 %) infracacardic type, and 9 (13.4 %) mixed. Surgery and Geometry Processing. In order to evaluate the therapeutic effect of TAPVC, two surgical models were established for comparison. One is the traditional surgery model, where an elliptical anastomosis was created by incising and stitching the LA and the CV along the axis of the CV (Figures 3A,B).The other is the new window surgery model, where the CV was incised with an H-shaped.