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4. Outcomes of Complete Repair of Mixed-Type Total Anomalous Pulmonary Venous Return.

Author

Dawary, Mohannad, Khouqeer, Fareed, Issa, Ziad, Alkhalaf, Louai, Alshamdin, Faisal, and Griselli, Massimo

Subjects
SCIMITAR syndrome, VENTRICULAR septal defects, MEDICAL drainage, PULMONARY veins, TETRALOGY of Fallot
Abstract

Objectives To retrospectively review 14 cases, describe preoperative imaging, anatomic findings and confirmation at surgery, surgical technique, and outcomes. Materials and Methods We describe anatomic variations in mixed-type total anomalous pulmonary venous return and surgical outcomes in a case series from 2 centers. Mixed-type total anomalous pulmonary venous return is classified based on the pattern of pulmonary venous drainage. Type I refers to '2+2' drainage of venous pairs, type II refers to '3+1' and type III refers to all other variants. Six patients (43%) had type I "2+2" drainage; 2 patients had 2 supra-cardiac and 2 cardiac connections, and 4 patients had 2 infra-cardiac connections and 2 cardiac. 4 patients (29%) had type II "3+1" drainage. Three patients had 3 cardiac and 1 supra-cardiac variants and one had a rare supra-cardiac pulmonary venous combination. 4 patients (29%) had type III morphology. 2 patients of them had 3+2 anatomy with 3 supra-cardiac and 2 cardiac connections, both of which included 3 right-sided pulmonary veins. The remaining 2 patients had unique anatomy, one with tri-level attachment to cardiac, supra-cardiac, and infra-cardiac and the last with all supracardiac pulmonary venous drainage but in a "3+1+1" pattern. Results In previous publications, mixed-type total anomalous pulmonary venous return has a higher mortality rate, with univariate analysis of mixed-type versus cardiac type with statistically significant hazard ratios of 2.88 in previous study and mortality as high as 42-50%. We achieved improved outcomes, with overall survival of 79% and no intraoperative mortality. Both patients who had complex intracardiac lesions (1 with ventricular septal defect and 1 with tetralogy of fallot) ultimately died. Of the remaining patients, 29% developed pulmonary venous obstruction on echocardiography follow-up with 3 requiring interventions with cardiac catheterization. Conclusion Mixed-type total anomalous pulmonary venous return has a wide variety of connections, which contributes to the complexity of planning and surgical correction. Further studies are needed to better understand the different morphologies of the disease. Keywords:Mixed type, outcome, surgical management, total anomalous pulmonary venous return: [ABSTRACT FROM AUTHOR]

Published
2024
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9. The World-wide Randomized Antibiotic Envelope Infection Prevention (WRAP-IT) trial: Long-term follow-up

Author

Mittal, Suneet, Wilkoff, Bruce L., Kennergren, Charles, Poole, Jeanne E., Corey, Ralph, Bracke, Frank A., Curnis, Antonio, Addo, Kamel, Martinez-Arraras, Joaquin, Issa, Ziad F., Redpath, Calum, Moubarak, Jean, Khelae, Surinder Kaur, Boersma, Lucas V.A., Korantzopoulos, Panagiotis, Krueger, Jo, Lande, Jeff D., Morss, Gina M., Seshadri, Swathi, and Tarakji, Khaldoun G.

Published
2020
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21. Preface

Author

Issa, Ziad F., primary, Miller, John M., additional, and Zipes, Douglas P., additional

Published
2019
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48. PO-05-050 BIOLOGIC CARDIOVASCULAR ELECTRONIC DEVICE ENVELOPES ENHANCE POCKET HEALING AND SIMPLIFY REOPERATIVE PROCEDURES

Author

Catanzaro, John, primary, Bilchick, Kenneth C., additional, Christopher, Thomas J., additional, Dsouza, Benjamin, additional, ISSA, ZIAD F., additional, Nekkanti, Rajasekhar, additional, Phan, Huy M., additional, Sangosanya, Afolabi O., additional, Vora, Aaditya M., additional, Yarmohammadi, Hirad, additional, and Deering, Thomas F., additional

Published
2023
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