Percutaneous baloon pulmonary valvulopasty for transposition of great arteries with ventricular septal defect and pulmonary stenosis patients at hanoi heart hospital: seri cases report

Quoc Hung Nguyen1, , Toan Thang Nguyen1, Van Hoang1, Cong Ha Nguyen1, Dac Long Tran1, Cong Thanh Tran1, Sinh Hien Nguyen1
1 Hanoi Heart Hospital

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Abstract

Objective: To evaluate the short-term outcome of percutaneous baloon pulmonary valvuloplasty for selected transpositon of great arteries with ventricular septal defect and pulmonary stenosis patients.


Method: from May 2022 to June 2023, 4 patients with diagnosis ccTGA- VSD- PS underwent baloon pulmonary valvulopasty at Hanoi Heart Hospital. Data was obtained before treatment, during catheterization procedures and after hospital discharge at least 6 months, with follow-up based on clinical findings and doppler  echocardiography data.


Results: all 4 patients underwent procedures successfully without major complications, with post-treatment result: the increasing of oxygen saturation, increase Qp/Qs, better functional condition status compare to pre-treatment, and lower the risk of polycythemia due to cyanosis. During follow-up, 1 patient was noted with progress pulmonary valve re-stenosis and decrease oxygen saturation, candidate for reintervention.


Conclusion: percutaneous baloon pulmonary valvuloplasty is an effective and safe method for treatment of selected transpositon of great arteries with ventricular septal defect and pulmonary stenosis patients, which improve the clinical and functional condition for late and contraindicated operative patients.

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References

1.Shelby Kutty, David A Danford, Gerhard-Paul Diller, et al. Contemporary management and outcomes in congenitally corrected transposition of the great arteries. Hearts. 2018; 0: 1–8.
2. William J. Brawn, Timothy J.J. Jones, Robert H. Anderson. Congenitally corrected transposition. Pediatric Cardiology, 3rd edition. 2010; 39: 819- 835.
3.J S Kan, R I White Jr, S E Mitchell, et al. Percutaneous balloon valvuloplasty: a new method for treating congenital pulmonary-valve stenosis. New England Journal Medicine. 1982 Aug; 26(9):540-542.
4. P. Symsundar Rao. Transcatheter Management of Cyanotic Congenital Heart Defects: A Review. Clinical Cardiol. Vol. 15. 1992, 15: 483-496.
5. O Stumper, J F Piechaud, P Bonhoeffer, et al. Pulmonary balloon valvuloplasty in the palliation of complex cyanotic congenital heart disease. Heart. 1996; 76: 363-366.
6. Sachin Talwar, Ashwani Bansal, Shiv Kumar, et al. Results of Fontan operation in patients with congenitally corrected transposition of great arteries. Interactive CardioVascular and Thoracic Surgery. 2016, 22: 188–193.
7. Xiaomin He, Bozhong Shi, Zhiying Song, et al. Congenitally Corrected Transposition of the Great Arteries: Mid-term Outcomes of Different Surgical Strategies. Frontier in Pediatrics. 2022, 9: 791475.
8. Karen K. Stout, Curt J. Daniels, Jamil A. Aboulhosn. 2018 AHA/ACC Guideline for the Management of Adults With Congenital Heart Disease: Executive Summary. Circulation. 2019; 139: e637–e697.
9. Helmut Baumgartner, Julie De Backer, Sonya V. Babu-Narayan, et al. 2020 ESC Guidelines for the management of adult congenital heart disease. European Heart Journal. 2021; 42: 563-645.