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Date Published: 28/10/2023
Online Published: 24/11/2023
Abstract Views: 486
Views PDF: 237
DOI: https://doi.org/10.47972/vjcts.v44i.1056
Issue
Vol. 44
Section
Research Article
How to Cite
Do Anh, T., Le Thi, T., & Nguyen Tran, T. (2023). The results of rastelli procedure for pulmonary atresia with ventricular septal defect. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 44, 26-32. https://doi.org/10.47972/vjcts.v44i.1056

The results of rastelli procedure for pulmonary atresia with ventricular septal defect

Tien Do Anh, Thuy Le Thi, Thuy Nguyen Tran

Main Article Content

Abstract

The objective of this study evaluated the results of Rastelli procedure for Pulmonary atresia with ventricular septal defect (PA-VSD) in E hospital.


Methods: This was a review of seri  PA-VSD cases who underwent Rastelli procedure from 8/2017 to 12/2021.[1]


Results: There were 36 patients who underwent complete surgical repair (Rastelli procedure), include 26 patients with type A and 10 patients with type B. The mean age was 15,4 months and the mean weight was 8,3 kilograms. 14 patients had previous temporary surgery. The time of cardiopulmonary bypass, aortic clamping and ventilator were: 87,8 mins; 59,4 mins and 40,8 hours. There was 2,7%  early death post opration 7 days in ICU. During follow-up time 31,2 months after surgery, there was no late death; 8,6% underwent reinterventions mostly due to pulmonary anastomotic stenosis; 2,8% with endocarditis.


Conclusion: Rastelli procedure had low mortality rate to treat patients with PA-VSD. The hight rate of pulmonary anastomotic stenosis and reinterventional requirement post operation during follow-up still remain challenges.

Article Details

Keywords

Rastelli procedure, Plumonary atresia, Ventricular septal defect

References

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