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Date Published: 24/01/2024
Online Published: 27/02/2024
Abstract Views: 209
Views PDF: 79
DOI: https://doi.org/10.47972/vjcts.v45i.1086
Issue
Vol. 45
Section
Research Article
How to Cite
Do, A. T., Nguyen, B. P., & Nguyen, T. T. (2024). The results of total repair for tetralogy of fallot with an abnormal coronary artery. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 45, 24-28. https://doi.org/10.47972/vjcts.v45i.1086

The results of total repair for tetralogy of fallot with an abnormal coronary artery

Anh Tien Do1,2, Ba Phong Nguyen1, Tran Thuy Nguyen1,2,
1 Trung tâm Tim mạch, Bệnh viện E
2 Trường ĐHYD, ĐHQGHN

Main Article Content

Abstract

The objective of this study evaluated the results of total repair for tetralogy of Fallot with an abnormal coronary artery.


Methods: This was a review of seri   Tetralogy of Fallot with an abnormal coronary artery cases who underwent total repair from 1/2018 to 6/2023.


Results: There were 10 patients who underwent complete surgical repair, include 6 males and 4 females. The mean age was 6,8 months  (range 4 months to 17 months)and the mean weight was 7,2 kilograms. 6 patients had Left Anterior Descending (LAD) artery originating from Right Coronary Artery (RCA), 3 patients with RCA originating from LAD and 1 patient with one major banche of RCA crossing the infundibulum. There were 7 patients with Pulmonary Valve Preserve (PVP) and 3 patients with Conduit Using (CU). The time of cardiopulmonary bypass, aortic clamping and ventilator were: 90 mins; 63 mins and 16 hours. There was not intrahospital mortality. Echocardiography post -operation: in PVP group all patient had a competence pulmonary valve and  mean gradient was 12,5 mmHg; in CU group, there were not pulmonary valve regurgitation and  mean gradient was 9 mmHg. During follow-up time 30 months after surgery, there was no late death; 2 patient in PVP group who had moderate pulmonary valve regurgitation and mean gradient was 22 mmHg; in CU group, there was a competence pulmonary valve with mean gradient 26 mmHg.


Conclusion: There was a good result of total repair for tetralogy of Fallot with an abnormal coronary artery.

Article Details

Keywords

tetralogy of Fallot, abnormal coronary artery

References

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