To the content
3, Приложение . 2021

Experience of surgical treatment of total anomalous pulmonary venous return (TAPVR) in the Federal Center for Cardiovascular Surgery (Penza)

Abstract

Total Anomalous Pulmonary Venous Connection (TAPVC), a rare and at the same time extremely severe form of congenital heart disease (CHD), the correction of which must be carried out as early as possible, especially during the neonatal period. TAPVC are often combined with a wide variety of different CHD. Currently, there is an improvement in treatment indicators for this complex category of patients, however, the issues of choosing the optimal technique for TAPVC correction, in accordance with long-term results, remain relevant. Significant developments in the field of intensive care, such as the use of nitric oxide and extracorporeal membrane oxygenation, have made it possible to improve for the most severely ill patients. In this paper, we analyzed our own experience in the surgical treatment of patients with TAPVC over the past 12 years. A total of 45 patients were treated (average weight 3.1 kg). Immediate mortality was 2 (4.4%) patient, 1 (2.2%) patient died in the long term. Reoperations for collector stenosis were performed in 3 (6.6%) cases. The most difficult category of patients consisted of patients with initial obstruction in the pulmonary veins.

Keywords:congenital heart disease, total anomalous pulmonary venous return, critical congenital heart disease

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Chernogrivov I.E., Chernogrivov A.E., Mukhin A.S., Gamzaev A.B., Bofanov D.A., Suleymanov S.F., Rybakova T.V., Nazarova I.S., Lashmanova L.N., Rjabova A.O., Bazylev V.V. Experience of surgical treatment of total anomalous pulmonary venous return (TAPVR) in the Federal Center for Cardiovascular Surgery (Penza). Clinical and Experimental Surgery. Petrovsky Journal. 2021; 9 (3). Supplement: 37-44. DOI: https://doi.org/10.33029/2308-1198-2021-9-3suppl-37-44

References

1.    Pediatric cardiac surgery: a guide for physicians. Moscow, 2016: 864 p. (in Russian)

2.    Herlong J.R., Jaggers J.J., Ungerleider R.M. Congenital Heart Surgery Nomenclature and Database Project: pulmonary venous anomalies. Ann Thorac Surg. 2000; 69 (suppl): S56-69.

3.    Kim A.I., Akatov D.S., Rogova T.V., Kharitonova S.S. A case of successful correction of abnormal separation of the right pulmonary artery from the ascending aorta. Detskie bolezni serdtsa i sosudov [Children’s Diseases of the Heart and Blood Vessels]. 2013; (1): 45-7. (in Russian)

4.    Yoshimura N., Fukahara K., Yamashita A., Doki Y., Takeuchi K., Higuma T., et al. Current topics in surgery for isolated total anomalous pulmonary venous connection. Surg Today. 2014; 44: 2221-6.

5.    Masuda M., Kuwano H., Okumura M., Arai H., Endo S., Doki Y., et al. Thoracic and cardiovascular surgery in Japan during 2014. Annual report by the Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2016; 64: 665-97.

6.    St Louis J.D., Harvey B.A., Menk J.S., Raghu-veer G., O’Brien J.E. Jr, Bryant R. 3rd, et al. Repair of «simple» total anomalous pulmonary venous connection: a review from the Pediatric Cardiac Care Consortium. Ann Thorac Surg. 2012; 94: 133-7. DOI: https://doi.org/10.1016/j.athoracsur.2012.03.006

7.    Shi G., Zhu Z., Chen J., Ou Y., Hong H., Nie Z., et al. Total anomalous pulmonary venous connection the current management strategies in a pediatric cohort of 768 patients. Circulation. 2017; 135 (1): 48-58. DOI: https://doi.org/10.1161/CIRCULATIONAHA.116.023889

8.    Morozov A.A., Movsesyan R.R. Features of pulmonary blood flow and systemic hemodynamics in patients with total abnormal drainage of pulmonary veins. Regionarnoye krovoobrashcheniye i mikrotsirkulyatsiya [Regional Blood Circulation and Microcirculation]. 2019; 18 (1): 24-30. DOI: https://doi.org/10.24884/1682-6655-2019-18-1-24-30 (in Russian)

9.    Lacour-Gayet F. Surgery for pulmonary venous obstruction after repair of total anomalous pulmonary venous return. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006; 9: 45-50.

10.    Husain S.A., Maldonado E., Rasch D., Micha-lek J., Taylor R., Curzon C., et al. Total anomalous pulmonary venous connection: factors associated with mortality and recurrent pulmonary venous obstruction. Ann Thorac Surg. 2012; 94: 825-32.

11.    Tucker B.L., Lindesmith G.G., Stiles Q.R., Meyer B.W. The superior approach for correction of the supracardiac type of total anomalous pulmonary venous return. Ann Thorac Surg. 1976; 22 (4): 374 - 7. DOI: https://doi.org/10.1016/s0003-4975(10)64970-3

12.    Yanagawa B., Alghamdi A.A., Dragulescu A., Viola N., Al-Radi O.O., Mertens L.L., et al. Primary sutureless repair for «simple» total anomalous pulmonary venous connection: midterm results in a single institution. J Thorac Cardiovasc Surg. 2011; 141: 1346-54. DOI: https://doi.org/10.1016/jjtcvs.2010.10.056

13.    Arikawa K., Shimokawa S., Maruko M., Wata-nabe K., Watanabe S., Taira A., et al. Surgery for total anomalous pulmonary venous drainage in adults. Case reports and review of eight Japanese patients over 40 years of age. J Cardiovasc Surg (Torino). 1990; 31 (2): 231-4.

14. Podzolkov V.P., Minaev A.V., Ermolenko M.L., Yurlov I.A. Medical care for adult patients with congenital heart defects: a modern view. Grudnaya i serdechno-sosudistaya khirurgiya [Thoracic and Cardiovascular Surgery]. 2018; 60 (6): 453-9. (in Russian)

15.    White B.R., Ho D.Y., Faerber J.A., Katcoff H., Glatz A.C., Mascio C.E., et al. Repair of total anomalous pulmonary venous connection: risk factors for postoperative obstruction. Ann Thorac Surg. 2019; 108 (1): 122-9. DOI: https://doi.org/10.10167j.athoracsur.2019.02.017 Epub 2019 Mar 16.

16.    Kirklin J.W. Surgical treatment of total anomalous pulmonary venous connection in infancy. In: B.G. Barratt-Boyes, J.M. Neutze, E.A. Harris (eds). Heart Disease in Infancy: Diagnosis and Surgical Treatment. Edinburgh, Scotland: Churchill Livingstone, 1973: 89-96.

17.    Hawkins J.A., Clark E.B., Doty D.B. Total anomalous pulmonary venous connection. Ann Thorac Surg. 1983; 36: 548-60.

18.    Cobanoglu A., Menashe V.D. Total anomalous pulmonary venous connection in neonates and young infants: repair in the current era. Ann Thorac Surg. 1993; 55: 43-8.

19.    Guocheng S., Zhongqun Z., Jimei C., Yanqiu O., Haifa H., Zhiqiang N., et al. Total anomalous pulmonary venous connection: the current management strategies in a pediatric cohort of 768 patients. Circulation. 2017; 135: 48-58.

20.    Harada T., Nakano T., Oda S., Kado H. Interactive Surgical results of total anomalous pulmonary venous connection repair in 256 patients. Interact Cardiovasc Thorac Surg. 2019; 28 (3): 421-6. DOI: https://doi.org/10.1093/icvts/ivy267

21.    Hancock Friesen C.L., Zurakowski D., Thiagara-jan R.R., Forbess J.M., del Nido P.J., Mayer J.E., et al. Total anomalous pulmonary venous connection: an analysis of current management strategies in a single institution. Ann Thorac Surg. 2005; 79: 596-606. DOI: https://doi.org/10.1016/j.athoracsur.2004.07.005

22.    Ricci M., Elliott M., Cohen G.A., Catalan G., Stark J., de Leval M.R., et al. Management of pulmonary venous obstruction after correction of TAPVC: risk factors for adverse outcome. Eur J Cardiothorac Surg. 2003; 24: 28-36.

23.    Seale A.N., Uemura H., Webber S.A., Partridge J., Roughton M., Ho S.Y., et al. Total anomalous pulmonary venous connection: outcome of postoperative pulmonary venous obstruction. J Thorac Cardiovasc Surg. 2013; 145: 1255-62.

24.    Kirshbom P.M., Myung R.J., Gaynor J.W., Ittenbach R.F., Paridon S.M., DeCampli W.M., et al. Preoperative pulmonary venous obstruction affects long-term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg. 2002; 74: 1616-20.

25.    Van de Wal H.J.C.M., Hamilton D.I., Godman M.J., Harinck E., Lacquet L.K., Van Oort A. Pulmonary venous obstruction following correction for total anomalous pulmonary venous drainage: a challenge. Eur J Cardiothorac Surg. 1992; 6: 545-9.

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)

CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

Journals of «GEOTAR-Media»