Article Sidebar

PDF
Date Published: 02/05/2024
Abstract Views: 66
Views PDF: 11
DOI: https://doi.org/10.47972/vjcts.v46i.1122
Issue
Vol. 46
Section
Research Article
How to Cite
Do , A. T., & Nguyen, T. T. (2024). The results of single–stage repair for coarctation with ventricular septal defect in neonates. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 46, 59 - 63. https://doi.org/10.47972/vjcts.v46i.1122

The results of single–stage repair for coarctation with ventricular septal defect in neonates

Anh Tien Do , Tran Thuy Nguyen

Main Article Content

Abstract

Background: The association of coarctation of the aorta (CoA) with a ventricular septal defect (VSD) in neonates is seriously who needs to surgery if not control heart failure by medicine in neonates. There are 2 procedures for repair includes: Two-stage repair (the repair coarctation and closure of the concomitant VSD as a secondary procedure), One-stage repair (the repair coarctation and closure of the concomitant VSD).


Methods: We retrospectively reviewed patients (in neonate) undergoing repair of CoA with closure of VSD from 1/2015 to 12/2023. There were sixteens patients who underwent one-stage repair. The mean of age and body’s weight were 21 days (range from 14 days to 29 days) and 3,3 kilograms (range from 2,9 to 3,6). All patients had severe heart failure, lager VSD and gradient through aortic isthmus that was 54 mmHg.


Results:  The time of cardiopulmonary bypass, aortic clamping  and selective cerebral perfusion time were: 126 mins; 87 mins and 18 mins. There were 5 patients with open chest. One patient died at ICU by multiple organ failure and one patient with cerebral haemorrhage.  The gradient postopration of aortic arch was 7 mmHg with no residual VSD. During follow-up time 57 months after surgery, there was no late death. The mean gradient  of aortic arch was 12 mmHg and one patient with 25 mmHg


Conclusion: The results of single–stage repair for coarctation with ventricular septal defect in neonates was good  with low re-coarctation.

Article Details

Keywords

Ventricular septal defect, Coarctation

References

1. Gaynor, J.W., Management strategies for infants with coarctation and an associated ventricular septal defect. J Thorac Cardiovasc Surg, 2001. 122(3): p. 424-6.
2. Plunkett, M.D., et al., Management of an associated ventricular septal defect at the time of coarctation repair. Ann Thorac Surg, 2014. 98(4): p. 1412-8.
3. Gaynor, J.W., et al., Outcome following single-stage repair of coarctation with ventricular septal defect. Eur J Cardiothorac Surg, 2000. 18(1): p. 62-7.
4. Cho, S.H., et al., Outcome of single-stage repair of coarctation with ventricular septal defect. J Card Surg, 2011. 26(4): p. 420-4.
5. Haas, F., et al., Primary repair of aortic arch obstruction with ventricular septal defect in preterm and low birth weight infants. Eur J Cardiothorac Surg, 2000. 17(6): p. 643-7.
6. Kobayashi, M., et al., Outcomes following surgical repair of aortic arch obstructions with associated cardiac anomalies. Eur J Cardiothorac Surg, 2009. 35(4): p. 565-8.
7. Park, J.K., et al., Surgical management of the infant with coarctation of the aorta and ventricular septal defect. J Am Coll Cardiol, 1992. 20(1): p. 176-80.
8. Sugimoto, A., et al., Mid- to long-term aortic valve-related outcomes after conventional repair for patients with interrupted aortic arch or coarctation of the aorta, combined with ventricular septal defect: the impact of bicuspid aortic valvedagger. Eur J Cardiothorac Surg, 2014. 46(6): p. 952-60; discussion 960.
9. Jonas, R.A., et al., Outcomes in patients with interrupted aortic arch and ventricular septal defect. A multiinstitutional study. Congenital Heart Surgeons Society. J Thorac Cardiovasc Surg, 1994. 107(4): p. 1099-109; discussion 1109-13.
10. Isomatsu, Y., et al., Coarctation of the aorta and ventricular septal defect: should we perform a single-stage repair? J Thorac Cardiovasc Surg, 2001. 122(3): p. 524-8.
11. Callahan, C., et al., Single-Stage Repair of Coarctation of the Aorta and Ventricular Septal Defect: A Comparison of Surgical Strategies and Resource Utilization. World J Pediatr Congenit Heart Surg, 2017. 8(5): p. 559-563.
12. Talwar, S., S.K. Choudhary, and B. Airan, Single-stage versus 2-stage repair of coarctation of the aorta with ventricular septal defect. J Thorac Cardiovasc Surg, 2008. 136(5): p. 1390-1; author reply 1391.
13. Quaegebeur, J.M., et al., Outcomes in seriously ill neonates with coarctation of the aorta. A multiinstitutional study. J Thorac Cardiovasc Surg, 1994. 108(5): p. 841-51; discussion 852-4.