Sutureless pericardial repair of total anomalous pulmonary venous connection in patients with right atrial isomerism.

Abstract	Surgical repair of total anomalous pulmonary venous connection (TAPVC) in patients with right atrial isomerism is associated with a significant risk of recurrent pulmonary venous obstruction (PVO). We evaluate the effect of sutureless repair to reduce the risk of recurrent PVO. Since November 2007, five patients, including three neonates, with right atrial isomerism underwent sutureless repair of TAPVC. The sutureless repair was used in three neonates as an initial procedure and in two infants as a procedure for postrepair PVO. Under deep hypothermic circulatory arrest or low flow cardiopulmonary bypass, pulmonary vein (PV) was incised as long as possible. The atrial wall was partially resected and anastomosed to the pericardial wall around the incised PV. There were no early deaths. No patients showed recurrence of PVO. There was one late death. Two patients underwent a bidirectional Glenn shunt after the sutureless repair. The pulmonary venous confluence was confirmed to be left open at the time of the Glenn surgery. The sutureless technique may be useful not only for postrepair PVO but also for non-operated TAPVC in neonates with right atrial isomerism.
Authors	Naoki Yoshimura, Yoshihiro Oshima, Roland Henaine, Hironori Matsuhisa
Journal	Interactive cardiovascular and thoracic surgery (Interact Cardiovasc Thorac Surg) Vol. 10 Issue 5 Pg. 675-8 (May 2010) ISSN: 1569-9285 [Electronic] England
PMID	20179133 (Publication Type: Journal Article)
Copyright	2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Topics	Abnormalities, Multiple (diagnostic imaging, surgery) Anastomosis, Surgical (methods) Cardiopulmonary Bypass (methods) Child, Preschool Echocardiography, Doppler Female Follow-Up Studies Heart Atria (abnormalities, surgery) Heart Defects, Congenital (diagnostic imaging, surgery) Humans Infant Infant, Newborn Male Pericardium (surgery) Pulmonary Veins (abnormalities, surgery) Pulmonary Veno-Occlusive Disease (diagnostic imaging, surgery) Risk Assessment Sampling Studies Suture Techniques Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.

Realize the full power of the drug-disease research graph!