A 15-Year Experience With Total Anomalous Pulmonary Venous Connection in Vietnam

Background This article aims to demonstrate the morphology of 261 total anomalous pulmonary venous connection (TAPVC) cases operated at Children's Hospital 1 with in-hospital mortality of 19.5% (51/261). Methods All the surgical protocols of TAPVC cases repaired between 2008 and June 2023 were...

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Published in:	World journal for pediatric & congenital heart surgery Vol. 15; no. 3; pp. 287 - 297
Main Authors:	Dinh, Le-Thanh Q., Do, Giang T. C., Ngo, Thoi K., Nguyen, Tuan D., Nguyen, Hai M., Nguyen, Phat Q., Khe, Nguyen H., Dang, Hung P., Nguyen, Vu T., Dao, Nha H., Truong, Uy-Linh N., Vu, Phuc M.
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-05-2024
Subjects:	Cardiac Surgical Procedures - methods Child Child, Preschool Female Hospital Mortality Humans Infant Infant, Newborn Male Pulmonary Veins - abnormalities Pulmonary Veins - surgery Retrospective Studies Scimitar Syndrome - mortality Scimitar Syndrome - surgery Vietnam - epidemiology Vietnam congenital heart disease surgery/incisions cardiac anatomy outcomes
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Summary:	Background This article aims to demonstrate the morphology of 261 total anomalous pulmonary venous connection (TAPVC) cases operated at Children's Hospital 1 with in-hospital mortality of 19.5% (51/261). Methods All the surgical protocols of TAPVC cases repaired between 2008 and June 2023 were reviewed. The descriptions of TAPVC were based on operative findings by surgeons. Results A total of 261 TAPVC patients were operated, including 124 (47.5%) supra, 83 (31.8%) intra, 41 (15.7%) infra, and 13 (5%) mixed cases. The in-hospital mortality was 19.5% (51/261). Fifteen cases are associated with other anomalies of the heart. Four subtypes of 124 supra TAPVC were found, with 42 (33.9%) obstructed cases. The standard was all pulmonary veins (PVs) forming a common vein (CV) and draining into the innominate veins, then going to the superior vena cava (SVC) (100/124, 80.6%). Eleven supra TAPVC cases were vascular vise type. Ten cases had the vertical vein running from the right of the CV and draining directly into the SVC. Of 83 intracardiac TAPVCs with 9 (10.8%) obstructed cases, the most common was all PVs draining directly into the coronary sinus (60/83, 72.3%). The second was all PVs draining directly into the right atrium (RA) via separated ostia or forming a CV before entering the RA (17/83, 20.5%). Also, there were three cases with rare variants and 100% obstruction when the diagnosis was explored. The in-hospital mortality of intracardiac type was 13.3% (11/83) 41 infra TAPVC with obstructed rate of 61% (25/41) and in-hospital mortality of 29.3% (12/41). Thirteen mixed TAPVCs were repaired, with most cases having three PVs forming a CV. Conclusion This article provides valuable information about the morphology of TAPVC types in Asian patients.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2150-1351 2150-136X
DOI:	10.1177/21501351231215256