Đánh giá phát triển thể chất ở bệnh nhi sau phẫu thuật fontan tại trung tâm tim mạch - bệnh viện E
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Abstract
We evaluated 101 patients who underwent the Fontan operation between 2012 and 2018. Postoperative height, and BMI for age z-score reached the -0,87 1,06 và -0,85 ± 1,14 (SD), which were significantly better than preoperative values (the -1,28 1,09 and -1,76 ± 1,61 (SD), p < 0,05. Early surgical intervention before 4 yearold improved postoperative somatic development. The degree of atrioventricular valve regurgitation affected postoperative growth, meanwhile, the ventricular patterns were not associated with impaired somatic development. Long-term catchup growth can be observed in patients after the Fontan operation.
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References
1. Lange PE, Ovroutski S, Stiller B et al (2004). Comparison of somatic development and status of conduit after extracardiac Fontan operation in young and older children. Eur J Cardiothorac Surg, 26:1073–9.
2. Boethig D, Goerler H, Ono M et al (2007). Somatic development long after the Fontan operation: Factors influencing catch-up growth. J Thorac Cardiovasc Surg, 134:1199- 1206.e2.
3. Diller GP, Dimopoulos K, Giardini A et al (2010). Predictors of morbidity and mortality in contemporary Fontan patients: results from a multicenter study including cardiopulmonary exercise testing in 321 patients. Eur Heart J, 31: 3073-83.
4. Danilowicz DA (1973). Delay in Bone Age in Children with Cyanotic Congenital Heart Disease. Radiology, 108:655–8.
5. Akçoral A, Dündar B, Saylam G et al (2000). Chronic hypoxemia leads to reduced serum IGF-I levels in cyanotic congenital heart disease. J Pediatr Endocrinol Metab JPEM, 13:431–6.
6. Buyukkaragoz B, Dinleyici EC, Kilic Z et al (2007). Serum IGF-1, IGFBP-3 and growth hormone levels in children with congenital heart disease: relationship with nutritional status, cyanosis and left ventricular functions. Neuro Endocrinol Lett, 28:279–83.
7. Anderson PAW, Mahony L, Sleeper LA et al (2008). Contemporary outcomes after the Fontan procedure: a Pediatric Heart Network multicenter study. J Am Coll Cardiol, 52:85–98.
8. Atz AM, Cohen MS, Sleeper LA et al (2007). Functional state of patients with heterotaxy syndrome following the Fontan operation. Cardiol Young, 17 Suppl, 2: 44-53.
9. Bush DM, Cohen MI, Ferry RJ et al (2000). Somatic growth failure after the Fontan operation. Cardiol Young, 10:447–57
2. Boethig D, Goerler H, Ono M et al (2007). Somatic development long after the Fontan operation: Factors influencing catch-up growth. J Thorac Cardiovasc Surg, 134:1199- 1206.e2.
3. Diller GP, Dimopoulos K, Giardini A et al (2010). Predictors of morbidity and mortality in contemporary Fontan patients: results from a multicenter study including cardiopulmonary exercise testing in 321 patients. Eur Heart J, 31: 3073-83.
4. Danilowicz DA (1973). Delay in Bone Age in Children with Cyanotic Congenital Heart Disease. Radiology, 108:655–8.
5. Akçoral A, Dündar B, Saylam G et al (2000). Chronic hypoxemia leads to reduced serum IGF-I levels in cyanotic congenital heart disease. J Pediatr Endocrinol Metab JPEM, 13:431–6.
6. Buyukkaragoz B, Dinleyici EC, Kilic Z et al (2007). Serum IGF-1, IGFBP-3 and growth hormone levels in children with congenital heart disease: relationship with nutritional status, cyanosis and left ventricular functions. Neuro Endocrinol Lett, 28:279–83.
7. Anderson PAW, Mahony L, Sleeper LA et al (2008). Contemporary outcomes after the Fontan procedure: a Pediatric Heart Network multicenter study. J Am Coll Cardiol, 52:85–98.
8. Atz AM, Cohen MS, Sleeper LA et al (2007). Functional state of patients with heterotaxy syndrome following the Fontan operation. Cardiol Young, 17 Suppl, 2: 44-53.
9. Bush DM, Cohen MI, Ferry RJ et al (2000). Somatic growth failure after the Fontan operation. Cardiol Young, 10:447–57