Surgery for pulmonary venous obstruction after repair of total anomalous pulmonary venous return

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
F Lacour-Gayet

Abstract

The major complication and the main cause of reoperation following surgery for total anomalous pulmonary venous return (TAPVR) is the occurrence of pulmonary venous obstruction. Outcomes after surgical repair of TAPVR have greatly improved in the last 10 years; however, the complex forms of TAPVR, particularly when associated with single ventricle and heterotaxy, still carry a high risk of failure. The pathology of pulmonary venous obstruction following TAPVR surgery is a fibrous intimal hyperplasia associated with some medial hypertrophy. There is an increasing severity in the spectrum of lesions from anastomotic stricture to pulmonary vein ostial stenosis and diffuse pulmonary vein stenosis. For anastomotic lesions, revision of the TAPVR anastomosis by patch enlargement of the left atrial anastomosis provides good results. On the contrary, conventional techniques in cases of pulmonary vein ostial stenosis had very poor results. The sutureless repair technique introduced in 1996 provides better midterm results than any other technique, with freedom from mortality and recurrence improving from 65% to 90%. The sutureless technique is described in detail, with emphasis on the need for resection of the pulmonary vein scar tissue a...Continue Reading

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Citations

Nov 21, 2007·Pediatric Cardiology·Cécile TissotEduardo da Cruz
Oct 12, 2012·General Thoracic and Cardiovascular Surgery·Naoki YoshimuraSaori Nagura
Jul 7, 2009·European Heart Journal·Ingrid van de LaarAida M Bertoli-Avella
May 7, 2008·Journal of Cardiothoracic Surgery·Pierre-André DoriotDipen Chandrakant Shah
Aug 26, 2014·The Annals of Thoracic Surgery·Kirk R KanterBrian E Kogon
Oct 21, 2015·The Journal of Thoracic and Cardiovascular Surgery·Mauro Lo RitoChristopher A Caldarone
Sep 4, 2012·The Annals of Thoracic Surgery·Matthew S YongIgor E Konstantinov
Aug 25, 2012·The Annals of Thoracic Surgery·James M HammelKim F Duncan
Jun 28, 2011·The Annals of Thoracic Surgery·Anthony AzakieAnil Sapru
Mar 26, 2011·The Annals of Thoracic Surgery·Matthew S YongIgor E Konstantinov
Mar 30, 2011·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Edward J Hickey, Christopher A Caldarone
Apr 5, 2011·The Journal of Thoracic and Cardiovascular Surgery·Bobby YanagawaGlen S Van Arsdell
Dec 18, 2015·The Annals of Thoracic Surgery·Hyungtae KimHee Young Kim
Apr 17, 2007·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Emile A BachaPedro J del Nido
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Oct 4, 2020·Current Cardiology Reports·Patcharapong Suntharos, Lourdes R Prieto
Mar 24, 2017·General Thoracic and Cardiovascular Surgery·Naoki YoshimuraYuki Ikeno
Mar 7, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·David B FrankCarl H Backes
Aug 28, 2021·Children·Eric N FeinsChristopher W Baird

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