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Article: Fate of the unligated vertical vein after repair of supracardiac anomalous pulmonary venous connection
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TitleFate of the unligated vertical vein after repair of supracardiac anomalous pulmonary venous connection
 
AuthorsCheung, YF1 1
Lun, KS1
Chau, AKT1
Chiu, CSW1
 
Issue Date2005
 
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPC
 
CitationJournal Of Paediatrics And Child Health, 2005, v. 41 n. 7, p. 361-364 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1440-1754.2005.00632.x
 
AbstractObjective: To determine the fate of the unligated vertical vein after repair of isolated supracardiac total anomalous pulmonary venous connection (TAPVC). Methods: We reviewed the outcome of 28 patients who were diagnosed to have isolated supracardiac TAPVC and determined the fate of the unligated vertical vein. Results: Of the 28 patients, four died before surgery. The remaining 24 patients underwent surgical correction of TAPVC with (M = 5) or without (n = 19) ligation of vertical vein at a median age of 20 days (range: 1-574 days). There were no significant differences in age, weight, presence of pulmonary venous obstruction, need for preoperative inotropic and ventilatory support, cardiopulmonary bypass duration, postoperative pulmonary hypertensive crisis and requirement of peritoneal dialysis between patients with and those without vertical vein ligation. The in-hospital surgical mortality was 50% (12/24), with 83% (10/12) of deaths occurring before 1990. Patients who died after surgery were significantly younger (median age: 5.5 days vs 37 days, P = 0.005), lighter (3.3 ± 0.5 kg vs 3.9 ± 0.6 kg, P = 0.016), more likely to have pulmonary venous obstruction preoperatively (75% vs 12%, P = 0.039) and have undergone surgery before 1990 (83% vs 33%, P = 0.036). The 12 survivors were followed up for a median of 4.7 years (range: 2.3-18.1 years), 10 of whom had their vertical vein unligated. The vertical vein remained patent in five (50%) patients, while stenosis of pulmonary venous anastomosis was only present in one patient. Of these five patients, three had subsequently undergone surgical ligation of the vertical vein to eliminate a large left-to-right shunt. Conclusions: Patency of the unligated vertical vein is common after the repair of supracardiac TAPVC, even in the absence of pulmonary venous obstruction. The degree of left-to-right shunt through the patent vertical vein may be so significant as to warrant surgical ligation.
 
ISSN1034-4810
2012 Impact Factor: 1.254
2012 SCImago Journal Rankings: 0.439
 
DOIhttp://dx.doi.org/10.1111/j.1440-1754.2005.00632.x
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorCheung, YF
 
dc.contributor.authorLun, KS
 
dc.contributor.authorChau, AKT
 
dc.contributor.authorChiu, CSW
 
dc.date.accessioned2012-10-30T06:07:39Z
 
dc.date.available2012-10-30T06:07:39Z
 
dc.date.issued2005
 
dc.description.abstractObjective: To determine the fate of the unligated vertical vein after repair of isolated supracardiac total anomalous pulmonary venous connection (TAPVC). Methods: We reviewed the outcome of 28 patients who were diagnosed to have isolated supracardiac TAPVC and determined the fate of the unligated vertical vein. Results: Of the 28 patients, four died before surgery. The remaining 24 patients underwent surgical correction of TAPVC with (M = 5) or without (n = 19) ligation of vertical vein at a median age of 20 days (range: 1-574 days). There were no significant differences in age, weight, presence of pulmonary venous obstruction, need for preoperative inotropic and ventilatory support, cardiopulmonary bypass duration, postoperative pulmonary hypertensive crisis and requirement of peritoneal dialysis between patients with and those without vertical vein ligation. The in-hospital surgical mortality was 50% (12/24), with 83% (10/12) of deaths occurring before 1990. Patients who died after surgery were significantly younger (median age: 5.5 days vs 37 days, P = 0.005), lighter (3.3 ± 0.5 kg vs 3.9 ± 0.6 kg, P = 0.016), more likely to have pulmonary venous obstruction preoperatively (75% vs 12%, P = 0.039) and have undergone surgery before 1990 (83% vs 33%, P = 0.036). The 12 survivors were followed up for a median of 4.7 years (range: 2.3-18.1 years), 10 of whom had their vertical vein unligated. The vertical vein remained patent in five (50%) patients, while stenosis of pulmonary venous anastomosis was only present in one patient. Of these five patients, three had subsequently undergone surgical ligation of the vertical vein to eliminate a large left-to-right shunt. Conclusions: Patency of the unligated vertical vein is common after the repair of supracardiac TAPVC, even in the absence of pulmonary venous obstruction. The degree of left-to-right shunt through the patent vertical vein may be so significant as to warrant surgical ligation.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationJournal Of Paediatrics And Child Health, 2005, v. 41 n. 7, p. 361-364 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1440-1754.2005.00632.x
 
dc.identifier.citeulike247768
 
dc.identifier.doihttp://dx.doi.org/10.1111/j.1440-1754.2005.00632.x
 
dc.identifier.epage364
 
dc.identifier.issn1034-4810
2012 Impact Factor: 1.254
2012 SCImago Journal Rankings: 0.439
 
dc.identifier.issue7
 
dc.identifier.pmid16014142
 
dc.identifier.scopuseid_2-s2.0-22944478364
 
dc.identifier.spage361
 
dc.identifier.urihttp://hdl.handle.net/10722/170344
 
dc.identifier.volume41
 
dc.languageeng
 
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JPC
 
dc.publisher.placeAustralia
 
dc.relation.ispartofJournal of Paediatrics and Child Health
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshAdolescent
 
dc.subject.meshCardiac Surgical Procedures
 
dc.subject.meshCardiopulmonary Bypass
 
dc.subject.meshChild
 
dc.subject.meshChild, Preschool
 
dc.subject.meshCoronary Angiography
 
dc.subject.meshFemale
 
dc.subject.meshHong Kong
 
dc.subject.meshHumans
 
dc.subject.meshLigation
 
dc.subject.meshMale
 
dc.subject.meshPulmonary Veins - Surgery
 
dc.subject.meshTreatment Outcome
 
dc.titleFate of the unligated vertical vein after repair of supracardiac anomalous pulmonary venous connection
 
dc.typeArticle
 
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<description.abstract>Objective: To determine the fate of the unligated vertical vein after repair of isolated supracardiac total anomalous pulmonary venous connection (TAPVC). Methods: We reviewed the outcome of 28 patients who were diagnosed to have isolated supracardiac TAPVC and determined the fate of the unligated vertical vein. Results: Of the 28 patients, four died before surgery. The remaining 24 patients underwent surgical correction of TAPVC with (M = 5) or without (n = 19) ligation of vertical vein at a median age of 20 days (range: 1-574 days). There were no significant differences in age, weight, presence of pulmonary venous obstruction, need for preoperative inotropic and ventilatory support, cardiopulmonary bypass duration, postoperative pulmonary hypertensive crisis and requirement of peritoneal dialysis between patients with and those without vertical vein ligation. The in-hospital surgical mortality was 50% (12/24), with 83% (10/12) of deaths occurring before 1990. Patients who died after surgery were significantly younger (median age: 5.5 days vs 37 days, P = 0.005), lighter (3.3 &#177; 0.5 kg vs 3.9 &#177; 0.6 kg, P = 0.016), more likely to have pulmonary venous obstruction preoperatively (75% vs 12%, P = 0.039) and have undergone surgery before 1990 (83% vs 33%, P = 0.036). The 12 survivors were followed up for a median of 4.7 years (range: 2.3-18.1 years), 10 of whom had their vertical vein unligated. The vertical vein remained patent in five (50%) patients, while stenosis of pulmonary venous anastomosis was only present in one patient. Of these five patients, three had subsequently undergone surgical ligation of the vertical vein to eliminate a large left-to-right shunt. Conclusions: Patency of the unligated vertical vein is common after the repair of supracardiac TAPVC, even in the absence of pulmonary venous obstruction. The degree of left-to-right shunt through the patent vertical vein may be so significant as to warrant surgical ligation.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong