| Surgical treatment of non-critical right ventricular outflow tract obstruction with intact ventricular septum in patients over one year of age. | |
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MedLine Citation:
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PMID: 6884649 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Between March 1966 and May 1982, 257 patients with clinically noncritical right ventricular outflow tract obstruction with intact ventricular septum (RVOTO/IVS) underwent elective open-heart correction, with an overall early mortality of 3.9%. Age ranged from 13 months to 48 years (mean 6.6 +/- 6.5 - median 5). We describe three different anatomical types, for which a standardized surgical approach is suggested. When one or more of the following features--small right ventricular cavity; rigid infundibular stenosis; hypoplastic pulmonary annulus and trunk; dysplastic cusps--were present, the mortality (10.6%) was significantly higher than in isolated valvular stenosis (2.2%) or in valvular plus dynamic infundibular stenosis or isolated low-lying stenosis (2.5%). In a series of 159 consecutive patients operated upon since September 1974 the cumulative early mortality was 1.3%. Late results on 202 patients (mean follow-up period of 25.6 +/- 22.6 months) are good in 90.6% and fair in 8.9% of the cases. One patient died of encephalitis 2 years after the operation. We believe that a more precise characterization of the underlying lesions and a more liberal use of different surgical techniques to minimize residual gradients, iatrogenic pulmonary incompetence and impairment of right ventricular contractility, may decrease early mortality and improve overall results. |
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Authors:
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T Bianchi; R Tiraboschi; M Villani; A Gamba |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Giornale italiano di cardiologia Volume: 13 ISSN: 0046-5968 ISO Abbreviation: G Ital Cardiol Publication Date: 1983 |
Date Detail:
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Created Date: 1983-10-28 Completed Date: 1983-10-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 1270331 Medline TA: G Ital Cardiol Country: ITALY |
Other Details:
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Languages: eng Pagination: 86-9 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Heart Defects, Congenital
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mortality,
surgery* Heart Valve Diseases / physiopathology, surgery Heart Ventricles / physiopathology, surgery Humans Infant Italy Postoperative Complications / mortality |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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