SURGICAL EXPERIENCE OF TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION WITH MIDTERM FOLLOW-UP IN A DEVELOPING-COUNTRY

Objective. To illustrate the incidence, the different age group, varie d clinical presentation, incremental risk factors for surgery and foll ow-up results from this part of the world. Experimental design. Retros pective study with follow-up from 3 months to 5 years. Setting. instit utional practice with hospitalised care. Selection procedure. Hospital ised patients with a diagnosis of total anomalous pulmonary venous con nection. Interventions. All patients who were diagnosed to have total anomalous pulmonary venous connection underwent corrective surgery. Re sults. There were 20 hospital deaths postoperatively The mean follow-u p was 1.9 year, Logistic regression analysis identified age group, tim ing of surgery, associated anomalies preoperative symptoms, anatomical type of lesion, pulmonary artery hypertension, duration of ventilatio n, low cardiac output as risk factors for surgery. The mean survival t ime was 4-8 years. Conclusion. Mortality continues to be higher from t his part of the world due to severe malnourishment, late presentation. Sociodemographic factors also play a major role in affecting surgical outcome apart from the identified risk factors for surgery.