Factors Associated with Early Postoperative Results of Total Anomalous Pulmonary Venous Connection Repair: Findings from Retrospective Single-Institution Data in Vietnam.

IF 1.5 Q3 PERIPHERAL VASCULAR DISEASE
Integrated Blood Pressure Control Pub Date : 2021-06-01 eCollection Date: 2021-01-01 DOI:10.2147/IBPC.S308778
Doan Quoc Hung, Dinh Xuan Huy, Hoang-Long Vo, Nguyen Sinh Hien
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引用次数: 2

Abstract

Introduction: There are scanty reports of the risk factors for pulmonary hypertensive crisis and low cardiac output syndrome after the operative repair of total anomalous pulmonary venous connection (TAPVC). We aim to evaluate early surgical outcomes of TAPVC and risk factors for pulmonary hypertensive crisis and low cardiac output syndrome.

Methods: We conducted a retrospective medical record review for all patients undergoing operative repair of TAPVC within 5 years. Outcome variables included pulmonary hypertensive crisis, low cardiac output syndrome and early mortality.

Results: Of 58 patients, we documented 77.59% supracardiac, 20.69% cardiac and 1.72% mixed site of connection. About 86.21% patients underwent elective surgery, and 13.79% patients required emergency surgery. Incidence rates were 27.59% for pulmonary hypertensive crisis and 6.90% for low cardiac output syndrome. Body weight below 6 kg, pneumonia, tachycardia, hepatomegaly, preoperative pulmonary congestion on chest x-ray, preoperative elevated mean pulmonary artery pressure, preoperative pulmonary venous obstruction, emergency surgery and prolonged aortic cross-clamping time were significant risk factors for postoperative pulmonary hypertensive crisis. Significant risk factors for postoperative low cardiac output syndrome included pneumonia, prolonged duration of preoperative mechanical ventilation and prolonged aortic cross-clamping time.

Conclusion: The early outcome of surgical repair of TAPVC was acceptable, with 96.55% survival rate. This current analysis suggests that a thorough evaluation of all preoperative and operative characteristics is imperative to achieve best medical and surgical outcomes.

与全异常肺静脉连接修复术后早期结果相关的因素:来自越南单一机构回顾性数据的发现。
前言:手术修复全异常肺静脉连接(TAPVC)后发生肺动脉高压危象和低心输出量综合征的危险因素报道较少。我们的目的是评估肺动脉高压危象和低心输出量综合征的早期手术结果和危险因素。方法:我们对5年内所有接受TAPVC手术修复的患者进行回顾性病历回顾。结果变量包括肺动脉高压危象、低心输出量综合征和早期死亡。结果:58例患者中,77.59%为心上连接部位,20.69%为心脏连接部位,1.72%为混合连接部位。86.21%的患者选择择期手术,13.79%的患者选择急诊手术。肺动脉高压危象的发生率为27.59%,低心输出量综合征的发生率为6.90%。体重低于6 kg、肺炎、心动过速、肝肿大、术前胸片肺充血、术前平均肺动脉压升高、术前肺静脉阻塞、急诊手术和主动脉交叉夹持时间延长是术后肺动脉高压危象的重要危险因素。术后低心输出量综合征的重要危险因素包括肺炎、术前机械通气时间延长和主动脉交叉夹持时间延长。结论:手术修复TAPVC的早期效果可接受,生存率为96.55%。目前的分析表明,对所有术前和手术特征进行全面评估是实现最佳医疗和手术结果的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Integrated Blood Pressure Control
Integrated Blood Pressure Control PERIPHERAL VASCULAR DISEASE-
CiteScore
4.60
自引率
0.00%
发文量
13
审稿时长
16 weeks
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