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What is TAPVR repair? Children with repaired TAPVC may be advised to limit their physical activities to their own endurance. Some competitive sports may have greater risk if there is leftover obstruction in the pulmonary veins, or if the child has heart rhythm problems.

BACKGROUND: Pulmonary venous obstruction after repair of total anomalous pulmonary venous connection ( TAPVC ) in substantial morbidity and mortality. Risk factors for postoperative obstruction remain ambiguous. In addition, the existing literature has no standard definition for preoperative obstruction, making patient counseling difficult.

The goal of the surgical repair of TAPVR is to restore normal blood flow through the heart. To repair this defect, doctors usually connect the pulmonary veins to the left atrium, close off any abnormal connections between blood vessels, and close the atrial septal defect. The surgical repair connects all of the veins to the back of the left atrium, resulting in a normal connection of pulmonary veins to left atrium.

All other routes for pulmonary venous drainage (such as the abnormal vessels which had carried pulmonary vein blood to the supracardiac or infracardiac areas) are tied off. The rationale for the generation of the defect in the heart that may lead to the purpose of a TAPVC Repair procedure has no precise foundation. In most of the cases, this situation is seen in the newborn baby within a few days of its life. With TAPVC draining to the coronary sinus (cardiac total anomalous pulmonary venous connection), the repair is performed by simply enlarging the existing atrial septal defect or patent foramen ovale and completely unroofing the coronary sinus until all four pulmonary veins are adequately visualized. Total Anomalous Pulmonary Venous Connection ( TAPVC ) is a defect which requires surgical correction.

Total anomalous pulmonary venous return ( TAPVR ) is a condition in which the blood vessels from the lungs take an abnormal path back to the heart.

TAPVR surgery is open heart surgery done to fix this problem. The heart has chambers: a right and left atrium and a right and left ventricle. TAPVC repair was performed through a median sternotomy under standard aorto-bicaval cardiopulmonary bypass (CPB) with moderate hypothermia in 7patients (). TAPVC repair is an emergency procedure conducted as soon as a newborn is born with an obstructive TAPVC. Some of these infants are put on extracorporeal life support (ECMO) before TAPVC repair because blood flow in their body is highly unstable.

In total anomalous pulmonary venous connection ( TAPVC ), the goal of surgical repair is to create an unobstructed connection between the pulmonary venous confluence and the left atrium. To repair this congenital heart defect, surgeons connect the pulmonary veins to the left atrium and close the hole between the atria. Children with this congenital heart defect will need regular follow-up appointments and continuing care with pediatric cardiologists. Hancock Friesen CL, Zurakowski Thiagarajan RR, et al.

Surgical repair of total anomalous pulmonary venous connection ( TAPVC ) in patients with right atrial isomerism is associated with a significant risk of recurrent pulmonary venous obstruction (PVO). We evaluate the effect of sutureless repair to reduce the risk of recurrent PVO. We sought to identify predictors of early and late outcomes. Four types are described based on the site of pulmonary venous drainage: supracardiac, cardiac. Haworth showed that in infracardiac TAPVC , prenatal structural changes in the extrapulmonary veins may predispose to the later development of PVO despite a successful surgical repair.

Other groups have suggested that a small left atrium or confluence morphology may predispose to subsequent PVO. The principles of repair , as with more common forms, are to (1) unifocalize nonconfluent pulmonary veins when possible, (2) establish a nonobstructive anastomosis to the pulmonary venous atrium, (3) close the interatrial communication, and (4) interrupt the anomalous drainage to the systemic veins. This in drainage of all pulmonary venous return into the systemic venous circulation.

Although contemporary overall hospital mortality for TAPVC repair ranges from to , it increases to to in the presence of recurrent pulmonary vein stenosis. The major complication and the main cause of reoperation in TAPVC surgery are the occurrence of pulmonary venous obstruction (PVO).