UNASSIGNED: Indications of sutureless repair (SR) for @entity358 have evolved from re-operational SR for @entity849 after the repair of total @entity1700 (TAPVD) to primary SR for TAPVD associated with right @entity4032 or isolated TAPVD with small individual pulmonary veins (IPVs) and an unfavorable pulmonary vein anatomy. We sought to determine whether small IPVs outgrow somatic growth after primary SR. Between 2004 and 2013, 21 @entity1 underwent primary SR for TAPVD: 13 with a functionally single ventricle, 11 with right @entity4032 , six with isolated TAPVD, and 13 with a @entity3885 . TAPVD types were supracardiac in nine, infracardiac in 10, and mixed in two. Utilizing cardiac computed tomography (CT), the maximal diameter of each IPV was measured, and pulmonary vein index (PVI, summation of cross-sectional areas of all four IPVs divided by body surface area) was calculated. There were five early deaths after SR. Among survivors, 10 had both preoperative and postoperative cardiac CT at a 3.6-month median interval. On postoperative cardiac CT, IPVs were patent in all @entity1 except one who developed a left lower @entity3885 . There was a 71      48  % postoperative increase in the actual diameter of all four IPVs, and PVI increased significantly from 215      55 to 402      117  mm(2)/m(2) (P value  =  0.005). IPVs outgrew somatic growth after primary SR of TAPVD. Primary SR may be a useful measure in TAPVD @entity1 whose IPVs are small.

Individual Pulmonary Veins Outgrow Somatic Growth After Primary Sutureless Repair for Total XXXX .

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity1700 :: ('MESH:D012587', 'Disease') :: ['anomalous pulmonary venous drainage'] @entity3885 :: ('MESH:D008173', 'Disease') :: ['pulmonary venous obstruction', 'pulmonary vein obstruction'] @entity849 :: ('MESH:D011666', 'Disease') :: ['pulmonary vein stenosis'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary vein anomalies'] @entity4032 :: ('MESH:D059446', 'Disease') :: ['atrial isomerism']
@entity1700 :: (MESH:D012587,Disease) :: ['Anomalous Pulmonary Venous Drainage']
