Document Detail

Truncus arteriosus communis: early and midterm results of early primary repair.
MedLine Citation:
PMID:  17126135     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Repair of truncus arteriosus communis (TAC) in the neonatal and early infant period has become standard practice in many centers. We report our experience on early primary repair of TAC, with a focus on early and midterm results. METHODS: From July 1993 to December 2005, 29 patients with median age 28 days (range, 11 to 127), and median body weight 3.1 kg (range, 2.6 to 5.9 kg), underwent primary repair of TAC. The anatomical type of TAC was as follows: A1-2, 27; A3, 0; and A4, 2. Right ventricular outflow tract was reconstructed with an aortic (n = 7) or pulmonary homograft (n = 8), or a bovine (n = 11) or porcine valved xenograft (n = 3). Follow-up was complete for all patients. RESULTS: Hospital mortality was 3.4% (1 death due to respiratory infection). At a mean follow-up of 74 months (range, 2 to 149), 1 patient died suddenly 2 months after surgery (6-year actuarial survival 93%). Of the 27 midterm survivors, 14 (52%) underwent 30 interventional procedures including percutaneous balloon dilation with or without stenting for right ventricular outflow tract or branch pulmonary artery obstruction. Eight of them were reoperated on for right ventricle-to-pulmonary artery conduit replacement (n = 8, 23%), and aortic valve regurgitation (n = 1, 3.4%). The overall freedom from any reintervention at 6 years was 50%. Aortic valve regurgitation was trace in 15 patients, mild in 8, moderate in 4. All midterm survivors but 1 (26 of 27) had good ventricular function. CONCLUSIONS: Truncus arteriosus communis repair can be performed early with very low perioperative mortality and satisfactory midterm morbidity; the latter is mainly attributed to right ventricular outflow tract reconstruction. Interventional cardiac catheterization delays inevitable conduit replacement.
Georgios Kalavrouziotis; Manoj Purohit; Giovanna Ciotti; Antonio F Corno; Marco Pozzi
Related Documents :
20592995 - Central sleep apnea in patients due to severe aortic stenosis.
3720055 - Acute thrombosis of a composite ascending aortic conduit containing a bjork-shiley valv...
22882745 - Idiopathic ventricular fibrillation originating from the moderator band.
15226955 - Aortico-left ventricular tunnel: a case report and review of the literature.
18167565 - Hybrid approach for complex coronary artery and valve disease: a clinical follow-up study.
7281475 - Embryology of the ventricular septum. separate origin of its components.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  82     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-27     Completed Date:  2006-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  2200-6     Citation Subset:  AIM; IM    
Department of Pediatric Cardio-Thoracic Surgery, Royal Liverpool Children's NHS Trust, Alder Hey Hospital, Liverpool, United Kingdom.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cardiac Surgical Procedures / methods,  mortality*
Infant, Newborn
Time Factors
Treatment Outcome
Truncus Arteriosus, Persistent / surgery*

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

Previous Document:  Dopamine induces postischemic cardiomyocyte apoptosis in vivo: an effect ameliorated by propofol.
Next Document:  Regional low-flow perfusion versus circulatory arrest in neonates: one-year neurodevelopmental outco...