Retrospective single center analysis: sutureless technique for neonates with total anomalous pulmonary venous connection

Abstract

Objective To retrospectively analyse the outcomes following primary Sutureless technique used in our hospital for neonates with total anomalous pulmonary venous connection(TAPVC) and sum up surgical operative experiences. Methods Date were collected retrospectively in 42 neonates who underwent primary Sutureless technique for TAPVC between January 2008 and December 2015. Cardiopulmonary bypass time, aortic clamped time, velocity of pulmonary veins and other related data were recorded during and after operation. Results There were 31 males and 11 females with median age of 8.0 days old, of whom 25 were supracardiac TAPVC(59.5%) and 17 were infracardiac TAPVC(40.5%). After operation, 1 neonate died and none suffered from pulmonary vein obstruction(PVO). In follow-up period, there was 1 neonates suffered from PVO. Six neonates came back to hospital again because of septicemia, poor wound healing, bronchopneumonia and incomplete intestinal obstruction. Conclusion Sutureless technique is a wise surgical strategy for neonates with TAPVC for better outcomes and decreasing postoperative mortality rate and recurrence rate of PVO. Key words: Total anomalous pulmonary venous connection; Neonates; Sutureless technique; Surgical repair