| Repair of truncus arteriosus: choice of right ventricle outflow reconstruction. | |
| | |
MedLine Citation:
|
PMID: 21070356 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVE: To find a better method of right ventricular-pulmonary artery (RV-PA) reconstruction in repairing truncus arteriosus (TA). BASIC STUDIES DESIGN: Retrospective clinical study, contrast study. CLINICAL SETTING: Shanghai Children's Medical Center. PARTICIPANTS: 23 patients with truncus arteriosus. INTERVENTION: To decrease the man-made interference, all of the exams during the follow-up period were carried out at our center. MAIN OUTCOME MEASUREMENTS: Hospital death, survival rate, the later outcomes during follow-up including the growth of pulmonary artery, the later heart function, and reintervention. RESULTS: There were two early hospital deaths, with no deaths during follow-up. The overall survival rate was 91.30%. One patient underwent reintervention for RVOTO. In Group 1, the difference between the diameters of RV-PA anastomosis was statistically significant. The early diameter was 1.01 ± 0.26 cm, the later was 1.32 ± 0.45 cm, p = 0.019. The velocity of flow at the position of anastomosis and the orifice of RPA/LPA was acceptable. There was a significant difference between the growth ratio of the RV-PA anastomosis of two groups, with a p value of 0.048. The later ejection fraction was higher than the early one in both groups. There was no reintervention for truncal valve regurgitation. CONCLUSIONS: The postoperative survival and follow-up results were satisfactory. A direct anastomosis of RV-PA continuity has the potential for RVOT growth and is associated with a low ratio of pulmonary artery and bifurcation obstruction. The myocardial function improved during follow-up period. IAA was a major risk factor associated with hospital death. |
| | |
Authors:
|
Zhi Wei Xu; Jia Shen |
Related Documents
:
|
14694396 - Patent ductus venosus in children: a case report and review of the literature. 6893536 - Idiopathic arterial calcification in infancy. report of a case in a premature fetus. 2761076 - A patient with an arteriovenous fistula between the internal mammary artery and the pul... 646516 - Closure of the complicated patent ductus arteriosus. 16798236 - Endovascular treatment of a thoracic aortic pseudoaneurysm after previous open repair. 7488486 - Monitoring lung compliance and end-tidal oxygen content for the detection of venous air... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of cardiac surgery Volume: 25 ISSN: 1540-8191 ISO Abbreviation: J Card Surg Publication Date: 2010 Nov |
Date Detail:
|
Created Date: 2010-11-12 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 724-9 Citation Subset: IM |
Copyright Information:
|
© 2010 Wiley Periodicals, Inc. |
Affiliation:
|
Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, Shanghai, China. zwxumd@163.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Left main coronary artery fistula to the right atrium and superior vena cava: case report and review...
Next Document: Life and death decisions for incompetent patients: determining best interests - the Irish perspectiv...