Hemodynamic Index for Risk Stratification After Neonatal Total Anomalous Pulmonary Venous Drainage Repair
作者： Matthew S. Yong , Frank Shann , Yves d'Udekem , Michael H.H. Cheung , Robert G. Weintraub
DOI: 10.1016/J.ATHORACSUR.2012.06.013
关键词:
摘要: Background Repair of total anomalous pulmonary venous drainage (TAPVD) in neonates remains a challenge. It is associated with high mortality. We aimed at determining method for risk stratification this group patients. Methods From 1994 to 2008, 54 patients underwent simple TAPVD operations during the first month life. Mean arterial pressure (PAP), mean systemic (MAP), systolic blood pressure, diastolic central and left atrial were recorded 44 36 hours postoperatively. The remaining 10 excluded because data from invasive monitoring not available. Results There overall 8 deaths (18.2%, 8/44), including 4 (9%, 4/44) early deaths, 5 reoperations (11.4%, 5/44). PAP was 23.1 ± 6.4 mm Hg, MAP 50.3 PAP-to MAP-ratio (PAP/MAP) 0.80 0.36. By multivariable logistic analysis, factors mortality higher PAP/MAP ( p = 0.037) lower operative weight 0.02). All had either greater than or an less 2.5 kg. Hemodynamic index (PAP/MAP divided by weight) predictive 0.007). Furthermore, hemodynamic 0.003) predicted prolonged length stay intensive care unit regression analysis. Conclusions (PAP/MAP/weight) ≥0.25 after repair A longer unit. This may be useful adjunct undergoing repair.
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François Lacour-Gayet, Surgery for pulmonary venous obstruction after repair of total anomalous pulmonary venous return. Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual. ,vol. 9, pp. 45- 50 ,(2006) , 10.1053/J.PCSU.2006.02.010
Bobby Yanagawa, Abdullah A. Alghamdi, Andreea Dragulescu, Nicola Viola, Osman O. Al-Radi, Luc L. Mertens, John G. Coles, Christopher A. Caldarone, Glen S. Van Arsdell, Primary sutureless repair for “simple” total anomalous pulmonary venous connection: Midterm results in a single institution The Journal of Thoracic and Cardiovascular Surgery. ,vol. 141, pp. 1346- 1354 ,(2011) , 10.1016/J.JTCVS.2010.10.056
Camille L. Hancock Friesen, David Zurakowski, Ravi R. Thiagarajan, Joseph M. Forbess, Pedro J. del Nido, John E. Mayer, Richard A. Jonas, Total Anomalous Pulmonary Venous Connection: An Analysis of Current Management Strategies in a Single Institution The Annals of Thoracic Surgery. ,vol. 79, pp. 596- 606 ,(2005) , 10.1016/J.ATHORACSUR.2004.07.005
Anna N. Seale, Hideki Uemura, Steven A. Webber, John Partridge, Michael Roughton, Siew Y. Ho, Karen P. McCarthy, Sheila Jones, Lynda Shaughnessy, Jan Sunnegardh, Katarina Hanseus, Hakan Berggren, Sune Johansson, Michael L. Rigby, Barry R. Keeton, Piers E.F. Daubeney, , Total Anomalous Pulmonary Venous Connection: Morphology and Outcome From an International Population-Based Study Circulation. ,vol. 122, pp. 2718- 2726 ,(2010) , 10.1161/CIRCULATIONAHA.110.940825
Hani K. Najm, Christopher A. Caldarone, Jeffery Smallhorn, John G. Coles, A sutureless technique for the relief of pulmonary vein stenosis with the use of in situ pericardium The Journal of Thoracic and Cardiovascular Surgery. ,vol. 115, pp. 468- 470 ,(1998) , 10.1016/S0022-5223(98)70294-6
Tara Karamlou, Rebecca Gurofsky, Eisar Al Sukhni, John G. Coles, William G. Williams, Christopher A. Caldarone, Glen S. Van Arsdell, Brian W. McCrindle, Factors Associated With Mortality and Reoperation in 377 Children With Total Anomalous Pulmonary Venous Connection Circulation. ,vol. 115, pp. 1591- 1598 ,(2007) , 10.1161/CIRCULATIONAHA.106.635441
Angela M. Kelle, Carl L. Backer, Jeffrey G. Gossett, Sunjay Kaushal, Constantine Mavroudis, Total anomalous pulmonary venous connection: Results of surgical repair of 100 patients at a single institution The Journal of Thoracic and Cardiovascular Surgery. ,vol. 139, pp. 1387- 1394.e3 ,(2010) , 10.1016/J.JTCVS.2010.02.024
E A Newfeld, A Wilson, M H Paul, J S Reisch, Pulmonary vascular disease in total anomalous pulmonary venous drainage. Circulation. ,vol. 61, pp. 103- 109 ,(1980) , 10.1161/01.CIR.61.1.103
S. Adil Husain, Elaine Maldonado, Debbie Rasch, Joel Michalek, Richard Taylor, Christopher Curzon, Steve Neish, John H. Calhoon, Total anomalous pulmonary venous connection: factors associated with mortality and recurrent pulmonary venous obstruction. The Annals of Thoracic Surgery. ,vol. 94, pp. 825- 832 ,(2012) , 10.1016/J.ATHORACSUR.2012.04.026
William H. Muller, The Surgical Treatment of Transposition of the Pulmonary Veins Annals of Surgery. ,vol. 134, pp. 683- 693 ,(1951) , 10.1097/00000658-195110000-00015