AI Summary & Key Takeaways
AI InsightMedian systolic pulmonary artery pressure was 38.166 mmHg (range 24-50), median systolic aorticpressure was 88.5 mmHg (range 70-115) and median left atrial pressure was8.87mmHg (range 5-15) during weaning from cardiopulmonary bypass (CPB).Discussion: Surgical correction of TAPVR in patients of less than one years ofage can be performed with an acceptable risk.
📌 3 Key Takeaways
Abstract
Aim: In this study, we evaluated that the surgical correction of patients withtotal anomalous pulmonary venous return (TAPVR) on clinical early outcome. Material and Method: Between March 2005 and February 2011, 24patients with total anomalous pulmonary venous return (TAPVR) (14 males,10 females; mean age 7.41±4.95 months; range 1 to 16 months) underwentsurgery. We were evaluated in respect of operative results, postoperativecomplications, and baseline demographic characteristics of the patients. Results: Early mortality was reported in two of the patients (8.3%). Death bytotal anomalous pulmonary venous connection type was supracardiac (1/24;4.2%), and mixed (1/24; 4.2%). The median age at repair was 7.41±4.95months (range 1 16), and the median weight was 5.425 kg (range 2.5-9.2).Median postoperative length of ICU stay was 12.5 days(range 7-20). Mediancross clemp time was 43.91 minute (range 17-78) and median cardiopulmonary by pass time was 80.70 minute (range 38-120). Median systolic pulmonary artery pressure was 38.166 mmHg (range 24-50), median systolic aorticpressure was 88.5 mmHg (range 70-115) and median left atrial pressure was8.87mmHg (range 5-15) during weaning from cardiopulmonary bypass (CPB).Discussion: Surgical correction of TAPVR in patients of less than one years ofage can be performed with an acceptable risk.
Özet
Amaç: Bu çalışmada, total pulmoner venöz dönüş anomalisi (TPVDA) nedeni ile opere edilen hastaların erken dönem cerrahi sonuçları değerlendirildi. Gereç ve Yöntem: Kliniğimizde Mart 2005- Şubat 2011 yılları arasındaTPVDA tanısı bulunan 24 vaka (14 erkek,10 kadın, ortalama yaş 7.41±4.95ay,aralık 1-16 ay) opere edildi. Hastaların cerrahi sonuçları , postoperatifkomplikasyonları ve demografik karakterleri incelendi. Bulgular: Erken dönem mortalite 2 hasta (%8.3) olarak kaydedildi. Bu vakalardan bir tanesi sup- rakardiyak(8.3%), diğeri ise mikst tip(8.3%) idi. Hastaların yaş ortalamaları 7.41±4.95 ay(aralık 1-16), ağırlık ortalamaları 5.4kg (aralık 2.5-9.2) olaraktespit edildi. Hastaların yoğun bakımda kalış süreleri ortalama 12.5 gün (aralık 7-20), kros klemp (KK) süreleri ortalama 43.91 dakika (aralık 17-78) ve ortalama kardiyopulmoner bay pas süreleri (KPB) 80.70dakika (aralık 38-120)idi. Kardiyo-pulmoner bay-pas (KPB) çıkışında ölçülen pulmoner arter basıncı (PAB) sistolik ortalama değeri 38.166 mmHg (aralık 24-50), ortalama sistemik sistolik basınç 88.5 mmHg (aralık,70-115), sol atriyum basıncı ortalama değeri de 8.87mmHg (aralık 5-15) olarak bulundu. Sonuç: Bir yaşın altındaki TPVDA tanılı hastalarda cerrahi düzeltme kabul edilebilir bir risk ile yapılabilmektedir.