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Cardiosurgery: Anomalous pulmonary venous connection (total) — Surgical correction of total anomalous pulmonary venous connection. Treatment

Congenital anomalies of the pulmonary veins is a version of congenital malformations of the cardiovascular system. The symptoms are caused by mixing of arterial (oxygenated) and venous blood due to the anomalous pulmonary venous drainage (APVD). The disease is formed during the prenatal period and represents a confluence of pulmonary veins into the right atrium (sometimes - in the vena cava). In 80% patients, APVD is diagnosed in combination with the atrial septal defect.

Treatment Principles 

Some patients with APVD do not report any complaints, and an anomaly is detected by chance in adulthood. In this case, treatment is not required, but need regular check-ups by a cardiologist.

Upon moderate signs of hemodynamic dysfunction manifested in the first months of life, a conservative therapy is conducted, which aims at postponement of surgical correction to a more advanced age. This tactic is due to better results of operative treatment. Postoperative, the mortality of children 6 to 7 years old is 5 times lower compared to the same indicator for infants.

Types of Surgeries

The technique of defect surgical correction is selected individually, taking into account the characteristics of the anomaly related to position of the large vessels and heart. The purpose of any surgery is separation of the venous and arterial blood flow.

  • Creation of intraatrial tunnels eliminating the arterial blood from pulmonary veins to the left part of the heart. 
  • Transplantation of pulmonary veins to the left atrium is used when the pulmonary vein and vena cava are interconnected.
  • Atrioseptotomiya is performed in a minimally invasive manner and is an emergency surgery for a serious condition of the newborn. The essence of the intervention is dissection of the interatrial septum to improve the patient's condition.

The patients with combined anomalies of the structure of heart and blood vessels undergo a simultaneous or gradual correction of each defect. In some cases, the atrial septal defect is not sutured, as some surgical methods use it for tunnels. In this case, the opening between the atria may be created artificially or expanded during surgery.

Timely treatment of congenital anomalies of the pulmonary veins allows achieving favorable results in 70-90% cases, depending on the defect type.

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HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes
location_onGermany, Karlsruhe
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Department of Cardiac Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #50057

The Department of Cardiac Surgery annually treats more than 120 patients with such a rare pathology as total anomalous pulmonary venous connection. The qualification of surgeons allows for a surgical correction of any types of this defect. The department’s "hybrid" operating room with the Laboratory for Catheter Diagnostics makes it possible to perform the surgical procedure with a partial connection to the cardiopulmonary bypass.

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Charite University Hospital Berlin

9/10 from 95 Votes
location_onGermany, Berlin
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Department of Cardiovascular Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #106783

The Department of Cardiovascular Surgery at the University Hospital Charite is located at the Campus Charite Mitte. It offers treatment of all congenital and acquired cardiovascular diseases.

University Hospital Oldenburg

10/10 from 33 Votes
location_onGermany, Oldenburg

Department of Cardiac Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #361512

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster

Department of Congenital (CHD) and Acquired Heart Defects

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #139933

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
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Department of Cardiac, Thoracic and Vascular Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #74747

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Adult and Pediatric Cardiovascular Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #383039

The Department of Adult and Pediatric Cardiovascular Surgery offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure.

Hirslanden Clinic Aarau

9.9/10 from 15 Votes
location_onSwitzerland, Aarau
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Department of Cardiosurgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #89871

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.

HELIOS University Hospital Wuppertal

9.8/10 from 42 Votes
location_onGermany, Wuppertal

Department of Cardiac Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #393380

The Department of Cardiac Surgery treats all heart diseases in adults. In addition, the department specializes in mitral valve reconstruction with the help of minimally invasive techniques, as well as in the surgical treatment of thoracic aortic aneurysm.

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes
location_onIsrael, Haifa

Department of Cardiac Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #327463

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.

University Hospital Essen

9.6/10 from 23 Votes
location_onGermany, Essen

Department of Thoracic and Cardiovascular Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #292050

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.

University Hospital RWTH Aachen

9.5/10 from 41 Votes
location_onGermany, Aachen
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Department of Thoracic, Vascular Surgery and Cardiac Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #106303

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.

University Hospital Duesseldorf

9.5/10 from 71 Votes
location_onGermany, Duesseldorf
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Department of Cardiovascular and Thoracic Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #82703

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.

University Hospital Tuebingen

9.2/10 from 55 Votes
location_onGermany, Tuebingen
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Department of Thoracic and Cardiovascular Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #137451

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.

University Hospital Bonn

9.2/10 from 150 Votes
location_onGermany, Bonn
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Department of Cardiac Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #88313

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.

University Hospital Hamburg-Eppendorf

9.2/10 from 92 Votes
location_onGermany, Hamburg

Department of Cardiovascular Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #298638

The Department of Cardiovascular Surgery at the University Medical Center Hamburg-Eppendorf covers the full range of heart diseases requiring surgery – from children with congenital defects up to older patients.

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich

Department of Cardiac Surgery

Treatment of total anomalous pulmonary venous connection (TAPVC) with surgical correction #154663

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.




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