ISSN: 1859 - 2872
Results of treatment atresia pulmonary artery with ventricular septal defect by Rastelli surgical
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Abstract
Objective: Survey on the treatment results of pulmonary stenosis with ventricular septal defect by Rastelli surgery. Subject and method: A retrospective study, patients with congenital heart disease underwent surgical repair from 01/2013 to 12/2020 at People Hospital 115, Ho Chi Minh city. Result: 40 patients, average: 7.47 ± 6.52 years old, < 12 years old: 85%. Male/Female: 1.6. Clinical: Cyanosis and lower extremities edema. Average SpO2: 80%. The type 2 pulmonary artery trunk of disease: 50%. The right ventricular-pulmonary artery anastomosis tube average: 19mm. Survival rate 95%. Conclusion: Pulmonary stenosis with ventricular septal defect is a pathological form of anomalous right ventricular outflow tract. It is common in very young childrens, with a high risk of death if not treated at the right time. Treatment depends on: Weight, age, level of pulmonary perfusion from the collateral branches. Surgery is recommended when age < 12 and weight < 15kg.
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References
2. Rastelli GC, McGoon DC, Wallace RB (1969) Anatomic correction of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis. J Thorac Cardiovasc Surg 58(4): 545-552.
3. Lertsakulpiriya K and Vijarnsorn C (2020) Current era outcomes of pulmonary atresia with ventricular septal defect: A single center cohort in Thailand 2020. Scientific Report 10(1): 5165.
4. Dave HH, Kadner A, Berger F, Seifert B, Dodge-Khatami A, Béttex D, Prêtre R (2005) Early results of the bovine jugular vein graft used for reconstruction of the right ventricular outflow tract. The Annals of thoracic surgery 79(2): 618-624.
5. Morales DL, Braud BE, Gunter KS, Carberry KE, Arrington KA, Heinle JS, McKenzie ED, Fraser CD Jr (2006) Encouraging results for the Contegra conduit in the problematic right ventricle-to-pulmonary artery connection. J Thorac Cardiovasc Surg 132(3): 665-671.
6. Wu M, Fan C, Liu J, Iroegbu CD, Chen W, Huang P, Tang M, Wu X, Wang C, Xiang K, Zhou W, Yang J (2022) Individualized right ventricular outflow tract reconstruction using autologous pulmonary tissue in situ for the treatment of pulmonary atresia with ventricular septum defect. Reviews in cardiovascular medicine 23(3): 85.
7. Herrmann JL and Brown JW (2020) Seven decades of valved right ventricular outflow tract reconstruction: The most common heart procedure in children. The Journal of thoracic and cardiovascular surgery 20.
8. Zhang Y, Hua Z, Yang K, Zhang H, Yan J, Wang X, Chu J, Ma K, Li S (2014) Outcomes of the rehabilitative procedure for patients with pulmonary atresia, ventricular septal defect and hypoplastic pulmonary arteries beyond the infant period. Eur J Cardiothorac Surg 46(2): 297-303; discussion 303.
9. Wiezell E, F Gudnason J, Synnergren M, Sunnegårdh J (2021) Outcome after surgery for pulmonary atresia with ventricular septal defect, a long-term follow-up study. Acta Paediatr 110(5): 1610-1619.
10. Watanabe N, Mainwaring RD, Reddy VM, Palmon M, Hanley FL (2014) Early complete repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals. The Annals of thoracic surgery 97(3): 909-915; discussion 914-915.
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