OBJECTIVE: We have previously reported the use of an atriopericardial or "sutureless" repair for surgical management of postoperative @entity849 . The potential of avoiding geometric distortion of pulmonary venous suture lines and preventing post-repair @entity849 encouraged us to extend the use of this technique for primary "simple" @entity1700 repair. METHODS: Between January 1997 and July 2009, 57 consecutive @entity1 (median age, 15 days; median weight, 3.4 kg) underwent sutureless or @entity1700 repair. RESULTS: Types of @entity1700 included supracardiac in 31 @entity1 (54%), cardiac in 15 @entity1 (26%), and infracardiac in 11 @entity1 (19%). Median follow-up time was 2.9 years. Preoperative mean pulmonary vein score, a composite measure of stenosis in all 4 pulmonary veins, was 0.3/0-12, and @entity3885 was found in 35 @entity1 (61.4%). A primary sutureless repair was carried out in 21 @entity1 (36.8%; supracardiac, n  =  12; cardiac, n  =  4; infracardiac, n  =  5). The sutureless repair group had proportionally greater high-risk @entity1700 (24% vs 16%, P  =  .05). Primary outcomes of @entity204 or reoperation for @entity849 and postoperative pulmonary vein scores (0.2    0.7 vs 0.7    1.7, P  =  .26) were not different between the techniques. CONCLUSIONS: The sutureless repair group had proportionally more @entity1700 and a higher rate of decline in postoperative right ventricular systolic pressure. Despite increased preoperative risk, no difference was observed in primary outcomes of @entity204 and reoperation in the conventional repair group.

Primary sutureless repair for "simple" XXXX : midterm results in a single institution.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1700 :: ('MESH:D012587', 'Disease') :: ['conventional total anomalous pulmonary venous connection', 'infracardiac total anomalous pulmonary venous connection', 'total anomalous pulmonary venous connection'] @entity3885 :: ('MESH:D008173', 'Disease') :: ['vertical vein obstruction'] @entity849 :: ('MESH:D011666', 'Disease') :: ['pulmonary vein stenosis'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death']
@entity1700 :: (MESH:D012587,Disease) :: ['total anomalous pulmonary venous connection']
