Chỉ định bảo tồn vòng van động mạch phổi trong phẫu thuật sửa chữa triệt để tứ chứng Fallot
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Abstract
Among 160 patients of Tetralogy of Fallot were performed complet correction, preservation of pulmonary valve was carried out in 109 patients (68.1%). PTFE 0.1 mm Monocurp was indicated in 51 cases (31.9%). Pulmonary artery diameter was different between two groups (13.36 and 11.93, p=0.008). Z value was also different (-1.83 and - 2.85, p< 0.001 ) . The ideal Z value for pulmonary valve preservation is >_ -3 . PTFE Monocusp should be performed in case Z value < -3 to avoid pulmonary artery gradient (27.72 and 18.25 , p=0.009). Z value >_3 was used to indicate the pulmonary valve preservation in Tetralogy correction at University Hospital - Ho chi Minh city with the rate of 0.77 and RR ratio is 2.09
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References
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7. Pande S., Agarwal S. K., Majumdar G., Chandra B., Tewari P., Kumar S., (2010), “Pericardial Monocusp for Pulmonary Valve Reconstruction: A New Technique”, Asian Cardiovasc Thorac Ann, (18), pp. 279 - 284.
8. Pozzi M., Quarti A., Corno A. F., (2006), “Tetralogy of Fallot”, European Association for Cardio-thoracic Surgery.
9. Steward R. D., Backer C. L., Young L., Mavroudis C., (2005), “Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy”, Ann Thorac Surg, (80), pp. 1431-1439.
10. Singh S., Pratap H., Agarwal S., Singh A., Satsangi D. K., (2011), “Pulmonary valve preservation in Tetralogy of Fallot with a mildly hypoplastic annulus-should we do it?”, Indian J Thorac Cardiovasc Surg, (27-2), pp. 76 - 82.
11. Turrentine M. W., McCarthy R. P., Vijay P., Fiore A. C., Brown J. W., (2002), “Polytetrafluoroethylene Monocusp Valve Technique for Right Ventricular Outflow Tract Reconstruction”, Ann Thorac Surg, (74), pp. 2202 – 2205.
2.Airan B., Choudhary S. K., , Kumar H. V. J., Talwar S., Dhareshwar J., Juneja R., Kothari S. S., Saxena A., Venugopal P., (2006), “Total Transatrial Correction of Tetralogy of Fallot: No Outflow Patch Technique”, Ann Thorac Surg, (82), pp. 1316 - 1321.
3. Bove E. L., Hirsch J. C., (2006), “Tetralogy of Fallot”, Surgery for Congenital Heart Defects, John Wiley & Sons, 3thEdition, (29), pp. 399 – 410.
4. Dyamenahalli U, Mc Crindle BW et al, (2000), “Influence of Perioperative Factors on Outcomes in Children Younger Than 18 Months After Repair of Tetralogy of Fallot”, Ann Thorac Surg, (69), pp.1236-42
5. Kaushal S. K., Radhakrishanan S., Dagar K. S., Iyer P. U., Girotra S., Shrivastava S., Iyer K. S., (1999), “Significant intraoperative right ventricular outflow gradients after repair for tetralogy of Fallot: to revise or not to revise”, Ann Thorac Surg, 68, pp. 1705 - 1713.
6. Kirklin J. W., Barratt-Boyes B. G., (2003), “Ventricular Septal Defect with Pulmonary Stenosis or Atresia”, Cardiac Surgery, Churchill Livingstone, 3nd Edition, Volume 1, (24), pp. 946 – 1073.
7. Pande S., Agarwal S. K., Majumdar G., Chandra B., Tewari P., Kumar S., (2010), “Pericardial Monocusp for Pulmonary Valve Reconstruction: A New Technique”, Asian Cardiovasc Thorac Ann, (18), pp. 279 - 284.
8. Pozzi M., Quarti A., Corno A. F., (2006), “Tetralogy of Fallot”, European Association for Cardio-thoracic Surgery.
9. Steward R. D., Backer C. L., Young L., Mavroudis C., (2005), “Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy”, Ann Thorac Surg, (80), pp. 1431-1439.
10. Singh S., Pratap H., Agarwal S., Singh A., Satsangi D. K., (2011), “Pulmonary valve preservation in Tetralogy of Fallot with a mildly hypoplastic annulus-should we do it?”, Indian J Thorac Cardiovasc Surg, (27-2), pp. 76 - 82.
11. Turrentine M. W., McCarthy R. P., Vijay P., Fiore A. C., Brown J. W., (2002), “Polytetrafluoroethylene Monocusp Valve Technique for Right Ventricular Outflow Tract Reconstruction”, Ann Thorac Surg, (74), pp. 2202 – 2205.