The first experience of radical corrections of total anomalous pulmonary vein return by "sutureless technique" in the Republic of Kazakhstan

Abstract

Total anomalous pulmonary vein return is a critical heart defect with 4 anatomic forms. It belongs to the severe category of complexity of the STAD scale with an incidence of about 0.013% among all newborns, most of them requiring urgent surgical treatment in the first days and hours of life. Currently, there are many surgical techniques for its correction. This paper presents a comparative evaluation of two groups of patients with previously classical and "sutureless technique" of surgery. It was proved that "sutureless technique" has a number of advantages in comparison with the previously performed methods, the main ones being reduction of myocardial ischemia time, artificial circulation and universalism in application to any form of malformation.

Keywords

• total anomalous pulmonary venous return
• "sutureless technique"
• congenital heart defect (CHD)
• Critical congenital heart disease (CCHD)
• heart surgery