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

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