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The Journal of Thoracic and Cardiovascular Surgery, Vol 75, 52-63, Copyright © 1978 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
CM Whight, BG Barratt-Boyes, AL Calder, JM Neutze and PW Brandt
Twenty-three infants, aged 5 days to 10 months, underwent repair of total
anomalous pulmonary venous connection (TAPVC). Coronary sinus drainage was
unusually common, accounting for 39 percent of the total. There were three
early and four late deaths. Although the hospital deaths were related to
perioperative errors, two of the infants appeared to have small left
ventricles. Two late deaths in infants with coronary sinus drainage were
due to obstruction to pulmonary venous return some distance proximal to the
surgical anastomosis. All 16 survivors were well at last review, one after
revision of his repair. Fifteen have undergone late reassessment, and one
of these, also with coronary sinus drainage, showed evidence of pulmonary
venous obstruction. Although the early survival rate is satisfactory, the
late mortality rate has been significant and the high incidence of
pulmonary venous obstruction in infants with coronary sinus drainage is of
particular concern.
ARTICLES
Total anomalous pulmonary venous connection. Long-term results following repair in infancy
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