Surgical management of total anomalous pulmonary venous drainage: impact of coexisting cardiac anomalies Christopher A Caldarone, MD, Hani K Najm, MD,

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Presentation transcript:

Surgical management of total anomalous pulmonary venous drainage: impact of coexisting cardiac anomalies Christopher A Caldarone, MD, Hani K Najm, MD, Margit Kadletz, MD, Jeffrey F Smallhorn, MD, Robert M Freedom, MD, William G Williams, MD, John G Coles, MD The Annals of Thoracic Surgery Volume 66, Issue 5, Pages 1521-1526 (November 1998) DOI: 10.1016/S0003-4975(98)00951-5

Fig 1 The percentage incidence of each anatomic subtype is plotted as a function of age at repair. In the neonatal period (<1 month), the majority of cases are intracardiac. As age at repair increases, the percentage of supracardiac lesions increases. (Least squares multiple regression used to smooth data). The Annals of Thoracic Surgery 1998 66, 1521-1526DOI: (10.1016/S0003-4975(98)00951-5)

Fig 2 Actuarial survival for total anomalous pulmonary venous drainage. The Annals of Thoracic Surgery 1998 66, 1521-1526DOI: (10.1016/S0003-4975(98)00951-5)

Fig 3 Actuarial survival for the entire group stratified by the presence of simple versus complex anatomy (p < 0.001). The Annals of Thoracic Surgery 1998 66, 1521-1526DOI: (10.1016/S0003-4975(98)00951-5)

Fig 4 Survival stratified by age at first operation. Early deaths are the major determinant of age-based differences in survival (p < 0.01). The Annals of Thoracic Surgery 1998 66, 1521-1526DOI: (10.1016/S0003-4975(98)00951-5)

Fig 5 Cumulative operative mortality for 125 consecutive cases with simple anatomy. A least squares regression line is included with a marker at the 50th case in the series, corresponding to an operative date of September 5, 1987. Operative mortality for the first 50 cases was 26.0% and for the following 76 cases was 7.9%. The Annals of Thoracic Surgery 1998 66, 1521-1526DOI: (10.1016/S0003-4975(98)00951-5)

Fig 6 Cumulative operative mortality for 44 consecutive cases with complex anatomy. A linear regression is plotted to demonstrate the lack of change in operative mortality. The Annals of Thoracic Surgery 1998 66, 1521-1526DOI: (10.1016/S0003-4975(98)00951-5)

Fig 7 Comparison of survival for univentricular and biventricular hearts (p < 0.001). The Annals of Thoracic Surgery 1998 66, 1521-1526DOI: (10.1016/S0003-4975(98)00951-5)