Comparison of direct anastomosis and "sutureless" technique for radical correction of total anomaly drainage of pulmonary veins
Abstract
Background. The presented work is the experience of using a "sutureless"
technique for surgical treatment of total abnormal drainage of pulmonary veins.
The relevance of the work is determined by a number of basic methods in
comparison with the method of direct anastomosis of the pulmonary vein
collector and the left atrium, which is more often used in Russian practice,
performed under conditions of deep hypothermia and circulatory arrest, as
well as poor coverage of its implementation in the country.
The aim of the work was to compare the above two techniques to identify
statistically significant differences between them in terms of a combination of
several control factors that are significant for the patient's health.
Material and methods. 34 case histories of patients diagnosed with TADLV were analyzed. In
accordance with the method of surgical treatment, the patients were divided
into control and experimental groups, 16 and 18 people, respectively. The
collected data were analyzed using nonparametric statistical analysis methods.
The results of the study demonstrated significant differences in the control factors of
the study, such as the duration of aortic clamping, cardiopulmonary bypass, the
total duration of surgery and hospitalization with a significance level of
p less than 0.05 for each factor.
Conclusion. Our clinical experience shows that the technique used allows to avoid a lot
of complications associated with prolonged CPB and circulatory arrest, and is
also more preferable from the surgical team perspective.
Keywords:total anomaly pulmonary vien connection, congenital heart disease (CHD), sutureless techniques, critical CHD, open heart surgery
Funding. The study had no sponsor support.
Conflict of interest. The authors
declare no conflict of interest.
For citation: Teplov P.V., Titov A.M.,
Miller A.Yu., Sakovich V.A., Drobot D.B., Morozov A.A. Comparison of direct
anastomosis and "sutureless" technique for radical correction of
total anomaly drainage of pulmonary veins. Clinical and Experimental Surgery.
Petrovsky Journal. 2021; 9 (3). Supplement: 33-6. DOI: https://doi.org/10.33029/2308-1198-2021-9-3suppl-33-36 (in Russian)
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