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Kết quả phẫu thuật sửa toàn bộ kệnh nhĩ thất toàn phần tại Bệnh viện Tim Hà Nội
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Abstract
Background: complete atrioventricular canal defect is a complex congenital heart disease. The current trend is to perform early complete repair to avoid the progression of pulmonary vascular disease and congestive heart failure. We sought to describe characteristics and evaluate outcomes of definitive repair of complete atrioventricular canal defect at Hanoi Heart Hospital from 2017 to 2020.[1]
Methods: a retrospective descriptive study of 62 patients who underwent definitive repair of complete atrioventricular canal defect at Hanoi Heart Hospital from January 2017 to December 2020. Data processing using SPSS 22 software.
Results: mean age at the time of surgery was 17.56 ± 30.85 months, 59.7% had Down phenotype. The type of surgical repair was single-patch technique (32.2%), modified single-patch technique (6.5%), and two-patch technique (61.3%) The most common postoperative complication is pneumonia (40.32%) and other complications include: pericardial effusion or pleural effusion (14.52%), third-degree AV block (9.67%), acute renal failure (6.45%). 3 cases (4.8%) required early reoperations, operative mortality was 1.6%. The overall estimated survival was 96,8% at 1 and 5 years.
Conclusion: definitive repair of complete atrioventricular canal defect at Hanoi Heart Hospital has good early and medium-term results.
Article Details
Keywords
complete atrioventricular canal defect
References
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