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- W2324784017 abstract "Objectives: Indication of sutureless repair (SR) for pulmonary vein anomalies has evolved from post-repair pulmonary vein stenosis after the repair of total anomalous pulmonary venous drainage (TAPVD) to primary SR for TAPVD associated with right atrial isomerism and isolated TAPVD with small IPV and unfavourable pulmonary vein anatomy. We sought to determine the postoperative changes of individual pulmonary veins (IPV) after primary SR. Methods: Between 2004 and 2013, 21 children underwent primary sutureless repair for TAPVD: 12 with functionally single ventricle, 11 with right atrial isomerism (RAI), 6 with simple TAPVD, and 5 with obstruction. The types of TAPVD were supracardiac in 9, infracardiac in 10 and mixed in 2. Utilising cardiac computed tomography (CT), the maximal diameter of each IPV was measured and pulmonary vein index (PVI, summation of cross-sectional areas of all 4 IPV indexed by body surface area) was calculated. Results: There were 5 early deaths. Among the early survivors with preoperative cardiac CT, 9 had postoperative cardiac CT at the median interval of 5 months. On postoperative cardiac CT, IPVs were patent in all patients except for one who developed left lower pulmonary vein obstruction. There was 43–71% postoperative increase in actual diameter of all 4 IPV, and PVI increased significantly from 220 ± 74 to 343 ± 101 mm2/m2 (P = 0.028). Diameter of each individual pulmonary vein (mm) and pulmonary vein index RUPV: right upper pulmonary vein; LUPV: left upper pulmonary vein; RLPV: right lower pulmonary vein; LLPV: left lower pulmonary vein; PVI: pulmonary vein index; pre: preoperative; post: postoperative; x: obstruction of pulmonary vein. Conclusion: IPV outgrow somatic growth after the primary sutureless repair of TAPVD. Primary SR can be a useful measure for patients with TAPVD if IPV and common pulmonary venous channel are small." @default.
- W2324784017 created "2016-06-24" @default.
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- W2324784017 date "2014-09-23" @default.
- W2324784017 modified "2023-09-27" @default.
- W2324784017 title "117-I * INDIVIDUAL PULMONARY VEINS OUTGROW SOMATIC GROWTH AFTER THE PRIMARY SUTURELESS REPAIR FOR TOTAL ANOMALOUS PULMONARY VENOUS DRAINAGE" @default.
- W2324784017 doi "https://doi.org/10.1093/icvts/ivu276.117" @default.
- W2324784017 hasPublicationYear "2014" @default.
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