Clinical diagnosis and treatment of 5 cases of TAPCV in infants

Abstract

Abstract Objective: To explore the clinical diagnosis and treatment methods of supracardiac total anomalous pulmonary venous connection (TAPVC) in infants aged less than 1 year old. Methods: To retrospectively analyse the clinical data of 5 cases of supracardiac TAPCV in infants admitted to Xi'an International Medical Center Hospital from October 2019 to October 2023. Results: The 5 cases were all infants less than 1 year old, with clinical manifestations of shortness of breath or recurrent pneumonia episodes. The 5 cases were examined by cardiac ultrasonography or CTA after examination by the first physician, and all of them were diagnosed with TAPCV (supra-cardiac type) and arterial ductus arteriosus or ventricular septal defects. The 5 cases underwent a TAPCV correction with a limited period of multidisciplinary consultation (MDT) before surgery, and all made good postoperative recovery. Conclusion: Parents should be alert to the possibility of congenital heart disease in newborns with shortness of breath, foaming or recurrent pneumonia in infancy. The prognosisof infants with TAPCV is often poor, and the mortality rate is substantially increased due to the untimely diagnosis of preoperative pulmonary venous obstruction (PVO). Precise prenatal examination, professional education on children's prevalent heart diseases, excellent surgical skills and postoperative intensive cardiological care for children are important for making early diagnosis and treatment of supracardiac TAPCV in infants and for improving the postoperative survival rate of children with TAPCV in infants.