{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T21:21:33Z","timestamp":1768080093344,"version":"3.49.0"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Science and Technology Planning Project of Guangdong Province, China","award":["2019B020230003"],"award-info":[{"award-number":["2019B020230003"]}]},{"name":"Science and Technology Planning Project of Guangdong Province, China","award":["2018B090944002"],"award-info":[{"award-number":["2018B090944002"]}]},{"name":"Science and Technology Planning Project of Guangdong Province, China","award":["2017B030314109"],"award-info":[{"award-number":["2017B030314109"]}]},{"name":"Science and Technology Planning Project of Guangdong Province, China","award":["2017A070701013"],"award-info":[{"award-number":["2017A070701013"]}]},{"name":"Guangdong Peak Project of Guangdong Province, China","award":["DFJH201802"],"award-info":[{"award-number":["DFJH201802"]}]},{"name":"National Key R&D Program of China","award":["2018YFC1002600"],"award-info":[{"award-number":["2018YFC1002600"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,5,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>This study aimed to review surgical experiences in patients with infracardiac total anomalous pulmonary venous connection (TAPVC).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>This retrospective study included 63 infants who underwent conventional repair (n\u2009=\u200927) and sutureless repair (n\u2009=\u200936) from 1 February 2009 to 31 June 2019. Kaplan\u2013Meier curves and Cox regressions were applied to analyse the overall survival and risk factors. Cumulative incidence curves and competing risk models were used to evaluate postoperative pulmonary venous obstruction (PVO).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>There were 4 hospital deaths and 2 late deaths, and 8 patients experienced postoperative PVO. The survival rates at 30\u2009days, 1\u2009year and 5\u2009years were 95.2%, 90.5% and 90.5%, respectively. The overall survival rate was significantly higher in the sutureless group than that in the conventional group. The cumulative incidence of postoperative PVO in the conventional group was higher than that in the sutureless group. Univariable Cox regression analyses showed that lower surgical weight, increase in preoperative international normalized ratio, prolonged cardiopulmonary bypass time and aortic cross-clamp time and longer duration of postoperative ventilation were associated with higher mortality. Longer cardiopulmonary bypass time, lower preoperative prothrombin activity and the increasing preoperative international normalized ratio before surgical repair were associated with a higher incidence of postoperative PVO.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Both sutureless and conventional repairs for patients with infracardiac TAPVC achieved favourable postoperative outcomes. There was no death in the sutureless repair group. Compared to conventional repair, sutureless repair was associated with lower mortality and lower incidence of restenosis in pulmonary veins and anastomosis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaa470","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T16:02:23Z","timestamp":1608048143000},"page":"959-966","source":"Crossref","is-referenced-by-count":11,"title":["Primary sutureless repair for infracardiac total anomalous pulmonary venous connection"],"prefix":"10.1093","volume":"59","author":[{"given":"Rong","family":"Liufu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Intensive Care Unit, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaobing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5274-4445","authenticated-orcid":false,"given":"Tao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Center for Statistical Sciences, Brown University School of Public Health, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jimei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shusheng","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianzheng","family":"Cen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Zhuang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"2021050918065912300_ezaa470-B1","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1161\/CIRCULATIONAHA.116.023889","article-title":"Total anomalous pulmonary venous connection: the current management strategies in a pediatric cohort of 768 patients","volume":"135","author":"Shi","year":"2017","journal-title":"Circulation"},{"key":"2021050918065912300_ezaa470-B2","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.athoracsur.2012.03.006","article-title":"Repair of \u201csimple\u201d total anomalous pulmonary venous connection: a review from the Pediatric Cardiac Care Consortium","volume":"94","author":"St Louis","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"2021050918065912300_ezaa470-B3","doi-asserted-by":"crossref","first-page":"2718","DOI":"10.1161\/CIRCULATIONAHA.110.940825","article-title":"Total anomalous pulmonary venous connection: morphology and outcome from an international population-based study","volume":"122","author":"Seale","year":"2010","journal-title":"Circulation"},{"key":"2021050918065912300_ezaa470-B4","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.athoracsur.2018.07.055","article-title":"Left ventricular function after repair of totally anomalous pulmonary venous connection","volume":"107","author":"Nakamura","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2021050918065912300_ezaa470-B5","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1007\/s11748-013-0300-y","article-title":"Midterm outcomes of sutureless technique for postoperative pulmonary venous stenosis","volume":"62","author":"Yamashita","year":"2014","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2021050918065912300_ezaa470-B6","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s13019-019-0853-7","article-title":"Comparison of conventional and primary sutureless surgery for repairing supracardiac total anomalous pulmonary venous drainage","volume":"14","author":"Zhu","year":"2019","journal-title":"J Cardiothorac Surg"},{"key":"2021050918065912300_ezaa470-B7","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1053\/j.semtcvs.2016.05.009","article-title":"Comparison of sutureless and conventional techniques to repair total anomalous pulmonary venous connection","volume":"28","author":"Zhang","year":"2016","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2021050918065912300_ezaa470-B8","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1016\/j.jtcvs.2010.10.056","article-title":"Primary sutureless repair for \u201csimple\u201d total anomalous pulmonary venous connection: midterm results in a single institution","volume":"141","author":"Yanagawa","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2021050918065912300_ezaa470-B9","doi-asserted-by":"crossref","first-page":"1921","DOI":"10.1016\/j.athoracsur.2010.12.069","article-title":"Outcomes of surgery for simple total anomalous pulmonary venous drainage in neonates","volume":"91","author":"Yong","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"2021050918065912300_ezaa470-B10","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.pedneo.2012.04.002","article-title":"Total anomalous pulmonary venous connection: 15 years' experience of a tertiary care center in Taiwan","volume":"53","author":"Fu","year":"2012","journal-title":"Pediatr Neonatol"},{"key":"2021050918065912300_ezaa470-B11","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1161\/CIRCULATIONAHA.106.635441","article-title":"Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection","volume":"115","author":"Karamlou","year":"2007","journal-title":"Circulation"},{"key":"2021050918065912300_ezaa470-B12","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1016\/j.athoracsur.2012.04.026","article-title":"Total anomalous pulmonary venous connection: factors associated with mortality and recurrent pulmonary venous obstruction","volume":"94","author":"Husain","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"2021050918065912300_ezaa470-B13","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1093\/icvts\/ivy034","article-title":"Long-term outcomes of total correction for isolated total anomalous pulmonary venous connection: lessons from 50-years' experience","volume":"27","author":"Sakamoto","year":"2018","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2021050918065912300_ezaa470-B14","doi-asserted-by":"crossref","first-page":"2221","DOI":"10.1007\/s00595-014-0877-5","article-title":"Current topics in surgery for isolated total anomalous pulmonary venous connection","volume":"44","author":"Yoshimura","year":"2014","journal-title":"Surg Today"},{"key":"2021050918065912300_ezaa470-B15","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.athoracsur.2019.02.017","article-title":"Repair of total anomalous pulmonary venous connection: risk factors for postoperative obstruction","volume":"108","author":"White","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2021050918065912300_ezaa470-B16","doi-asserted-by":"crossref","first-page":"862","DOI":"10.1016\/j.athoracsur.2010.05.007","article-title":"Primary sutureless repair for infants with mixed total anomalous pulmonary venous drainage","volume":"90","author":"Honjo","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"2021050918065912300_ezaa470-B17"},{"key":"2021050918065912300_ezaa470-B18","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/S1010-7940(03)00180-5","article-title":"Management of pulmonary venous obstruction after correction of TAPVC: risk factors for adverse outcome","volume":"24","author":"Ricci","year":"2003","journal-title":"Eur J Cardiothorac Surg"},{"key":"2021050918065912300_ezaa470-B19","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.jtcvs.2013.08.046","article-title":"Pulmonary vein stenosis and the pathophysiology of \u201cupstream\u201d pulmonary veins","volume":"148","author":"Kato","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2021050918065912300_ezaa470-B20","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/S0022-5223(99)70287-4","article-title":"Surgical management of progressive pulmonary venous obstruction after repair of total anomalous pulmonary venous connection","volume":"117","author":"Lacour-Gayet","year":"1999","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2021050918065912300_ezaa470-B21","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/S0022-5223(98)70294-6","article-title":"A sutureless technique for the relief of pulmonary vein stenosis with the use of in situ pericardium","volume":"115","author":"Najm","year":"1998","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2021050918065912300_ezaa470-B22","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1007\/s00246-015-1276-4","article-title":"Individual pulmonary veins outgrow somatic growth after primary sutureless repair for total anomalous pulmonary venous drainage","volume":"37","author":"Jung","year":"2016","journal-title":"Pediatr Cardiol"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/ejcts\/article-pdf\/59\/5\/959\/37900519\/ezaa470.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/ejcts\/article-pdf\/59\/5\/959\/37900519\/ezaa470.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,9]],"date-time":"2021-05-09T18:07:33Z","timestamp":1620583653000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/59\/5\/959\/6118433"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,25]]},"references-count":22,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,1,25]]},"published-print":{"date-parts":[[2021,5,8]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezaa470","relation":{},"ISSN":["1010-7940","1873-734X"],"issn-type":[{"value":"1010-7940","type":"print"},{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,5,1]]},"published":{"date-parts":[[2021,1,25]]}}}