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- W3149589127 abstract "Purpose: To present a new technique to repair Cardiac type of total anomalous pulmonary venous connection (TAPVC) with obstruction at the junction of common venous chamber (CVC) and coronary sinus (CS). Methods: From January 2002 to December 2004 150 neonates and infants underwent repair of TAPVC. Among them, 4 underwent surgery for cardiac type that with obstruction at CVC and CS junction. Mean age and weight were 92 days (21-151 days) and 3.12 Kgs (2.14.3). A gradient > 5 mms across the junction was considered significant and were selected for new technique. Technique: Under hypothermic bypass and cardioplegic arrest, CVC was dissected free from the heart. The junction of the CVC with the CS was identified. Right atrium (RA) was opened transversely. CS was de-roofed up to its junction with CVC. Restrictive opening of CVC was confirmed. Incision over RA was extended across ASD into the posterior wall of LA. Working through the de-roofed CS, CS–CVC junction was slit open into CVC. The incision was extended up to right pulmonary veins. A 2 cm incision in the CVC was sutured to posterior wall of the LA, thereby ensuring an unobstructed channel between two chambers. Results: There was no mortality. Mean bypass and cross-clamp time were 83 mins (68101) and 45 mins (4049). Mean ventilation (53 hours), ICU stay (74 hours), hospital stay (9 days) were unaltered. There was no gradient between CVC and LA. All 4 children are under follow-up (6 months – 36 months). Echocardiography demonstrated unrestrictive opening in all children. Conclusions: This technique is simple and easily reproducible. It avoids suture lines in proximity of AV groove. It eliminates gradient across junction of CVC and CS. Short term results have been gratifying. 15" @default.
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- W3149589127 date "2007-01-01" @default.
- W3149589127 modified "2023-09-27" @default.
- W3149589127 title "Novel repair for obstructed total anomalous pulmonary venous connection to coronary sinus at the junction of coronary sinus to common venous chamber" @default.
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