Vol. 25 No. 4 (2021)
CONGENITAL HEART DISEASES

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

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  • M.V. Plotnikov,
  • Yu.N. Gorbatykh,
  • A.N. Аrkhipov,
  • M.G. Galstyan,
  • A.V. Bogachev-Prokophiev,
  • D.G. Tarasov,
  • I.A. Soynov
M.V. Plotnikov
Federal Center for Cardiovascular Surgery, Astrakhan
Bio
Yu.N. Gorbatykh
Meshalkin National Medical Research Center, Novosibirsk
A.N. Аrkhipov
Meshalkin National Medical Research Center, Novosibirsk
M.G. Galstyan
Meshalkin National Medical Research Center, Novosibirsk
A.V. Bogachev-Prokophiev
Meshalkin National Medical Research Center, Novosibirsk
D.G. Tarasov
Federal Center for Cardiovascular Surgery, Astrakhan
I.A. Soynov
Meshalkin National Medical Research Center, Novosibirsk
DOI: https://doi.org/10.21688/1681-3472-2021-4-41-52

Published 2021-12-28

Keywords

  • conventional repair,
  • sutureless repair,
  • total anomalous pulmonary venous connection

How to Cite

Plotnikov, M., Gorbatykh, Y., Аrkhipov A., Galstyan, M., Bogachev-Prokophiev, A., Tarasov, D., & Soynov, I. (2021). Results of the early and mid-term postoperative period after correction of total anomalous pulmonary venous connection. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 25(4), 41–52. https://doi.org/10.21688/1681-3472-2021-4-41-52

Copyright (c) 2021 Plotnikov M.V., Gorbatykh Yu.N., Аrkhipov A.N., Galstyan M.G., Bogachev-Prokophiev A.V., Tarasov D.G., Soynov I.A.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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

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