Objective:To summary the experience of the treatment of the patient in perioperative period with TAPVC.Methods:24 children(Male/Female 16/8)with TAPVC corrective operation were collected from March 2007 to June 2009

which age from 10 d to 182m(16.78±37.30)m and weight from 2.8～36 kg(7.00±6.83)kg.The care and treatment were applied to all cases after surgery

which included mechanical ventilation and continually low-does inotropic agents.Results:Two cases died postoperatively of pneumorrhagia and infection complicated with multiple organ dysfunction syndrome

respectively.The period of mechanical ventilation was 3～393(72.83± 80.63)h.The complication included low cardiac output syndrome(3 cases)

pnmonia(11 cases)

respiratory dysfunction(13 cases)

arrhythmia(5 cases)and pneumorrhagia(1 case).Six cases were re-intubated children.Conclusion:TAPVC

especially with obstrction of pulmonary venous

should be surgically correced as earlier as possible to prevent pulmonary pertention and fibrosis of pulmonary venous.Pneumonia and respiratory dysfunction are the most important reason for prolonged ventilation time and ICU stay after cardiac surgery.Therefore

optimal respiratory management and prevention of low cardiac output will be beneficial for intensive care after TAPVC corrective operation.