Document Detail


Repair of truncus arteriosus in infancy.
MedLine Citation:
PMID:  1929629     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Improvements in myocardial protection, surgical technique, and postoperative care have decreased operative mortality for neonatal repair of truncus arteriosus. Primary repair of truncus arteriosus in infancy without prior pulmonary artery banding is currently the preferred approach. During the period from 1982 to December 1990, 32 patients under the age of 12 months underwent surgical correction of truncus arteriosus at UCLA. The average age was 3.5 months (range, 12 days to 12 months). Three patients had interrupted aortic arch. Early mortality for the entire group was 15.6% (5/32); for those older than 1 month early mortality was 7% (2/28). In the past 4 years, early mortality has decreased to 8.3% (2/24); both of these patients had interrupted aortic arch. Excluding patients with interrupted aortic arch, there were no early deaths in the last 22 patients (1986 to 1990). Late mortality overall was 7.4% (2/27). In a mean follow-up of 73 months (range, 40 to 110 months), 71% (5/7) of the survivors with Dacron porcine-valved conduits required conduit replacement secondary to obstruction. In a mean follow-up of 36 months (range, 1 to 89 months), only 14% (3/21) of the patients with homografts required replacement secondary to obstruction.
Authors:
J M Pearl; H Laks; D C Drinkwater; E Milgalter; Orrin-Ailloni-Charas; F Giacobetti; B George; R Williams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  52     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1991-11-13     Completed Date:  1991-11-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  780-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, University of California, Los Angeles.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Blood Vessel Prosthesis
Echocardiography
Female
Humans
Infant
Infant, Newborn
Male
Methods
Postoperative Complications
Pulmonary Artery / surgery
Reoperation
Truncus Arteriosus, Persistent / mortality,  surgery*,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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