Carlos Alcántara
Background: Total anomalous pulmonary venous connection (TAPVC) is a rare form of congenital heart disease. The incidence is 1% to 3% off all Congenital Heart Diseases. This study describes current surgical treatment strategies and experiences in a cohort of patients from congenital cardiac centers in Mexico City.
Methods: Although all patients underwent conventional repair. This is a descriptive cross-sectional study of patients operated on with a single diagnosis of CATVP between the period of April 9, 1964 to February 28, 2020, at the Hospital Infantil de México Federico Gómez. A total of 754 cases of CATVP were operated on, of which the following variables were collected: type of drainage, age in months, weight in kilograms (kg), postoperative complications, and immediate and late post-surgical mortality (immediate and post-30-day post-surgical ). The analysis was based on descriptive statistical techniques. Absolute frequency distributions were made. Percent measures were used as summary measures.
Conclusions: Surgical correction in patients with TAPVC with a biventricular anatomy can achieve an acceptable outcome. Is still a challenge in the surgical treatment of newborns and young infants, presenting high mortality in the postoperative period. Our hospital results have significantly improved over time, decreasing mortality, however, obstruction remains a major late complication despite the surgical technique.
