Your browser doesn't support javascript.
loading
Impact of the pulmonary venous entry site morphology on postoperative pulmonary vein stenosis in total anomalous pulmonary venous connection patients.
Hu, Szu-Yen; Ye, Jing-Ren; Chou, Heng-Wen; Chen, Yih-Sharng; Chang, Chung-I; Chiu, Ing-Sh; Lin, Chih-Ting; Tsai, Hsiao-En; Chen, Shyh-Jye; Huang, Shu-Chien.
Afiliação
  • Hu SY; Department of Cardiovascular Surgery, National Taiwan University Hospital Hsinchu Branch, Hsinchu, Taiwan; Graduate Institute of Biomedical Electronics and Bioinformatics National Taiwan University Taipei Taiwan.
  • Ye JR; Department of Cardiovascular Surgery, National Taiwan University Hospital Hsinchu Branch, Hsinchu, Taiwan.
  • Chou HW; Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
  • Chen YS; Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
  • Chang CI; Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
  • Chiu IS; Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
  • Lin CT; Graduate Institute of Biomedical Electronics and Bioinformatics National Taiwan University Taipei Taiwan.
  • Tsai HE; Department of Cardiovascular Surgery, National Taiwan University Hospital Hsinchu Branch, Hsinchu, Taiwan.
  • Chen SJ; Department of Radiology and Medical Imaging, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
  • Huang SC; Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address: cvshuang@gmail.com.
J Formos Med Assoc ; 2024 Sep 05.
Article em En | MEDLINE | ID: mdl-39242224
ABSTRACT

BACKGROUND:

To evaluate the association between the pulmonary vein (PV) entry site morphology after total anomalous pulmonary vein repair (TAPVC) and postoperative pulmonary vein stenosis (PVS).

METHODS:

Computed tomography (CT) examination was performed to determine the PV entry site morphology. The width of the PV confluence was divided by the width of the left atrium (LA) to obtain the cPV/LA index. The cPV/LA index was compared between patients with and without postoperative PVS.

RESULTS:

Fifty-one patients who had undergone CT after TAPVC repair were included, with a median cPV/LA index of 0.5 (interquartile range (IQR) = 0.349-0.654). Among them, 27 patients developed postoperative PVS. The median cPV/LA index after primary TAPVC repair was significantly lower in patients with PVS compared to those without PVS (0.367, IQR = 0.308-0.433 vs. 0.657, IQR = 0.571-0.783, P < 0.0001). Additionally, the cPV/LA index after surgical re-intervention for PVS was significantly smaller in patients who developed recurrent stenosis compared to those who remained free-from re-stenosis after surgical relief (0.459, IQR = 0.349-0.556; vs. 0.706, IQR = 0.628-0.810, P = 0.0045).

CONCLUSION:

A small PV confluence width is associated with the development of postoperative PVS and recurrent stenosis after surgical relief of PVS. Our results suggest that adequate bilateral pulmonary vein lateralization during TAPVC surgery is crucial.
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: J Formos Med Assoc Assunto da revista: MEDICINA Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Revista: J Formos Med Assoc Assunto da revista: MEDICINA Ano de publicação: 2024 Tipo de documento: Article