| Surgery for aortic insufficiency associated with ventricular septal defect. | |
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MedLine Citation:
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PMID: 15793054 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Aortic valve repair in children is a challenge. We have adopted a technique of single aortic cusp extension with an autologous pericardial strip in patients diagnosed with severe aortic insufficiency (AI) associated with a ventricular septal defect (VSD). The purpose of this study was to report the short-term outcomes. Seven patients were operated on between January 2002 and December 2003. The mean age was 11.28 +/- 2.1 years (range 8-14 years). The VSD was closed with a synthetic patch. Aortic cusp extension was performed at the right coronary cusp in 6 patients and the remainder had a non-coronary cusp extension. The mean diastolic arterial pressure increased from 35.71 +/- 6.09 to 74.28 +/- 7.31 mm Hg after the operation ( p < 0.001). The postoperative grade of AI was trivial in 4 patients, mild in 1 patient and non-existent in 2 patients. The mean follow-up period was 12.85 +/- 6.12 months (range 2-20 months). This technique is very effective in patients with severe AI associated with a VSD. However, long-term durability will need to be carefully followed. |
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Authors:
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Chareonkiat Rergkliang; Vorawit Chittithavorn; Apirak Chetpaophan; Prasert Vasinanukorn |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Asian cardiovascular & thoracic annals Volume: 13 ISSN: 0218-4923 ISO Abbreviation: Asian Cardiovasc Thorac Ann Publication Date: 2005 Mar |
Date Detail:
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Created Date: 2005-03-28 Completed Date: 2005-06-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9503417 Medline TA: Asian Cardiovasc Thorac Ann Country: Singapore |
Other Details:
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Languages: eng Pagination: 61-4 Citation Subset: IM |
Affiliation:
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Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Prince of Songkla University, Songkhla 90110, Thailand. chareonkiat@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Aortic Valve Insufficiency / etiology*, surgery* Child Female Follow-Up Studies Heart Septal Defects, Ventricular / complications*, surgery* Heart Valve Prosthesis Implantation / methods* Humans Male Pericardium / transplantation* Severity of Illness Index Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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