Results of the early and mid-term postoperative period after correction of total anomalous pulmonary venous connection

Q4 Medicine

Patologiya krovoobrashcheniya i kardiokhirurgiya Pub Date : 2021-12-28 DOI:10.21688/1681-3472-2021-4-41-52

M. Plotnikov, Y. Gorbatykh, A. Аrkhipov, M. Galstyan, A. Bogachev-Prokophiev, D. Tarasov, I. Soynov

{"title":"Results of the early and mid-term postoperative period after correction of total anomalous pulmonary venous connection","authors":"M. Plotnikov, Y. Gorbatykh, A. Аrkhipov, M. Galstyan, A. Bogachev-Prokophiev, D. Tarasov, I. Soynov","doi":"10.21688/1681-3472-2021-4-41-52","DOIUrl":null,"url":null,"abstract":"Aim. To compare complications and outcomes in the postoperative period with two different methods for correcting total anomalous pulmonary venous connection.Methods. In this pilot, two-centre, simple, blind, prospective randomised study, the patients’ quality of life after correction of total anomalous pulmonary venous connection in infancy was evaluated using the sutureless (n = 20) and conventional repair methods (n = 20) in 40 patients. The overall mortality and complications in the mid-term were evaluated.Results. The average follow-up was 15 (13; 16) months. Mortality was noted only in the conventional repair group, amounting to 5 (25%) patients (p = 0.018). Severe obstruction of the pulmonary veins anastomosis was also noted only in the conventional repair group (n = 8, 40%; p = 0.0013). Infectious endocarditis was observed in one (6.6%) patient in the conventional repair group (p = 0.42). Arrhythmias were present in 4 (26.6%) patients in the conventional repair group (p = 0.02).Conclusion. The rates of obstruction of the pulmonary vein anastomosis, arrhythmias and death depend on the method of total anomalous pulmonary venous connection correction. The sutureless repair reduces the incidence of early and mid-term postoperative complications compared to conventional repair.Received 16 March 2021. Revised 8 June 2021. Accepted 11 June 2021.Funding: The study did not have sponsorship.Conflict of interest: The authors declare no conflict of interest.Contribution of the authors Conception and study design: Yu.N. Gorbatykh, A.V. Bogachev-Prokophiev, M.V. Plotnikov Data collection and analysis: M.V. Plotnikov, M.G. Galstyan, D.G. Tarasov Statistical analysis: M.V. Plotnikov Drafting the article: M.V. Plotnikov, Yu.N. Gorbatykh Critical revision of the article: I.A. Soynov Final approval of the version to be published: M.V. Plotnikov, Yu.N. Gorbatykh, A.N. Аrkhipov, M.G. Galstyan, A.V. Bogachev-Prokophiev, D.G. Tarasov, I.A. Soynov","PeriodicalId":19853,"journal":{"name":"Patologiya krovoobrashcheniya i kardiokhirurgiya","volume":"7 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Patologiya krovoobrashcheniya i kardiokhirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.21688/1681-3472-2021-4-41-52","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

Abstract

Aim. To compare complications and outcomes in the postoperative period with two different methods for correcting total anomalous pulmonary venous connection.Methods. In this pilot, two-centre, simple, blind, prospective randomised study, the patients’ quality of life after correction of total anomalous pulmonary venous connection in infancy was evaluated using the sutureless (n = 20) and conventional repair methods (n = 20) in 40 patients. The overall mortality and complications in the mid-term were evaluated.Results. The average follow-up was 15 (13; 16) months. Mortality was noted only in the conventional repair group, amounting to 5 (25%) patients (p = 0.018). Severe obstruction of the pulmonary veins anastomosis was also noted only in the conventional repair group (n = 8, 40%; p = 0.0013). Infectious endocarditis was observed in one (6.6%) patient in the conventional repair group (p = 0.42). Arrhythmias were present in 4 (26.6%) patients in the conventional repair group (p = 0.02).Conclusion. The rates of obstruction of the pulmonary vein anastomosis, arrhythmias and death depend on the method of total anomalous pulmonary venous connection correction. The sutureless repair reduces the incidence of early and mid-term postoperative complications compared to conventional repair.Received 16 March 2021. Revised 8 June 2021. Accepted 11 June 2021.Funding: The study did not have sponsorship.Conflict of interest: The authors declare no conflict of interest.Contribution of the authors Conception and study design: Yu.N. Gorbatykh, A.V. Bogachev-Prokophiev, M.V. Plotnikov Data collection and analysis: M.V. Plotnikov, M.G. Galstyan, D.G. Tarasov Statistical analysis: M.V. Plotnikov Drafting the article: M.V. Plotnikov, Yu.N. Gorbatykh Critical revision of the article: I.A. Soynov Final approval of the version to be published: M.V. Plotnikov, Yu.N. Gorbatykh, A.N. Аrkhipov, M.G. Galstyan, A.V. Bogachev-Prokophiev, D.G. Tarasov, I.A. Soynov

查看原文本刊更多论文

全肺静脉连接异常矫正术后早期和中期的结果

的目标。比较两种不同方法校正全肺静脉连接异常的术后并发症及预后。在这项双中心、简单、盲、前瞻性随机研究中，采用无缝线(n = 20)和常规修复方法(n = 20)对40例婴幼儿肺静脉完全异常连接矫正后患者的生活质量进行评估。观察两组中期总死亡率及并发症发生情况。平均随访15例(13例;16个月。只有常规修复组有5例(25%)患者死亡(p = 0.018)。仅常规修复组出现肺静脉吻合口严重梗阻(n = 8,40%;P = 0.0013)。常规修复组出现感染性心内膜炎1例(6.6%)(p = 0.42)。常规修复组有4例(26.6%)患者出现心律失常(p = 0.02)。肺静脉吻合口梗阻、心律失常和死亡的发生率取决于完全异常肺静脉连接矫正的方法。与常规修复相比，无缝线修复减少了术后早期和中期并发症的发生率。收到2021年3月16日。2021年6月8日修订。2021年6月11日接受。经费来源:本研究未获得赞助。利益冲突:作者声明无利益冲突。作者贡献:构想与研究设计:联合国。数据收集与分析:M.V. Plotnikov, M.G. Galstyan, D.G. Tarasov统计分析:M.V. Plotnikov文章撰写:M.V. Plotnikov, un。Gorbatykh文章的关键性修改:I.A. Soynov最终批准的版本发表:M.V. Plotnikov, un。Gorbatykh, A.N. Аrkhipov, M.G. Galstyan, A.V. Bogachev-Prokophiev, D.G. Tarasov, I.A. Soynov

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊