Prognosis and related risk factors analysis of total anomalous pulmonary venous connection correction

• DOI: 10.1111/jocs.16652
• Publication Date: 2022-06-02T14:33:38Z
• Authors: Zhangwei Wang; Nan Ding; Hanlu Yi; Yaobin Zhu; Zhiqiang Li; Daole Yan; Xiaofeng Li; Song Bai
• Keywords: Hypertension, Pulmonary; Scimitar Syndrome; Infant; Prognosis; 3. Good health; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Pulmonary Veins; Risk Factors; Humans; Pulmonary Veno-Occlusive Disease; Child; Retrospective Studies

This study was performed to analyze the surgical outcomes of our center biventricular correction with total anomalous pulmonary venous connection (TAPVC) and explore risk factors associated postoperative mortality obstruction (PVO).In total, 104 patients diagnosed TAPVC underwent from January 1, 2009 December 31, 2021, in Beijing Children's Hospital Affiliated Capital Medical University were included. The primary endpoints early late vein obstruction.Multivariable analysis indicated that prolonged cardiopulmonary bypass (CPB) time only independent factor for mortality. Emergency surgery, preoperative moderate, severe hypertension (PH), CPB PVO. According ROC curve analysis, cut-off value predicting 148 min (AUC = 0.916, 95% CI 0.811-1.000).In past 12 years, technique perioperative management advancement, prognosis children treated has generally improved. However, repair remains challenging, high during surgery. Postoperative PVO often occurs who emergency combined moderate PH time.