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Surgical Approaches to Total Anomalous Pulmonary Venous Connection

机译:外科肺静脉连接的手术方法

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Total anomalous pulmonary venous connection (TAPVC) constitutes a spectrum of congenital lesions whereby the pulmonary veins remain connected to systemic venous vessels or aberrantly connect to the right atrium. Definitive management requires surgical intervention and, in patients with obstruction to pulmonary venous flow, urgent operation is required. Use of temporizing catheter-based interventions allow for optimization in hemodynamically unstable neonates. Overall, survival has significantly improved over the past decades through better perioperative management and evolution of surgical approaches to minimize post-repair pulmonary vein stenosis, which persists as a major determinant of long-term outcomes.
机译:总异常的肺静脉连接(TAPVC)构成先天性病变的光谱,由此肺静脉保持连接到全身静脉血管或以异常连接到右心房。 确定性管理需要手术干预,并且在障碍肺静脉流动患者中,需要紧急操作。 使用临时基于导管的干预措施允许在血流动力学不稳定的新生儿中进行优化。 总体而言,过去几十年来,生存率通过更好的围手术期管理和演化来减少修复后期肺静脉狭窄,这持续存在于长期成果的主要决定因素。

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