Đánh giá kết quả phẫu thuật bệnh thiểu sản động mạch phổi kèm thông liên thất (pa-vsd) tại bệnh viện Tim Hà Nội
Main Article Content
Abstract
188 cases of PA-VSD were operated from 1/2015 to 10/2016 at Hanoi Heart Hospital. The mean age 3,2 ± 1,5 (0,16-25). Classification: Type I: 65 (34,6%); type II: 56 (29,8%), type III: 47 (25%); type IV: 20 (10,6%). Techniques of operation: Total repair: 106 (56,4%); unifocalization MAPCAs + Sano shunt 16 (8,5%), unifocalization MAPCAs + BT shunt 13 (6,9%), BT shunt 53 (28,2%). Early mortality was 8/188 (4,3%): Early mortality of total repair 4/106 (3,8%); early mortality of unifocalization MAPCAs 3/29 (10,3%); early mortality of BT shunt 1/53 (1,9%). 1 year mortality 0,5%.
Article Details
Keywords
PA-VSD, congenital heart disease, unifocalisation.
References
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5.Iyer KS, Mee RB. Staged repair of pulmonary atresia with ventricular septal defect and major systemic to pulmonary artery collaterals. Ann Thorac Surg. 1991 Jan. 51(1):65-72.
6. Carrillo SA, Mainwaring RD, Patrick WL, Bauser-Heaton HD, Peng L, Reddy VM, Hanley FL. Surgical Repair of Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collaterals With Absent Intrapericardial Pulmonary Arteries. Ann Thorac Surg. 2015 Aug;100(2):606-14.
7. Jéôme Soquet, Yves d’Udekem, Christian Brizard. Atrésie pulmonaire avec communication interventriculaire et collatérales systémicopulmonaires : unifocalisation versus reshabilitation. Journal de Chirurgie Thoracique et Cardio-Vasculaire. 2016. vol 20-Septembre
2. Balaguru D, Dilawar M. Pulmonary atresia with ventricular septal defect: systematic review. Heart Views 2007,8:52-61
3.Gupta A, Odim J, Levi D, Chang RK, Laks H. Staged repair of pulmonary atresia with ventricular septal defect and major aortopulmonary collateral arteries: experience with 104 patients. J Thorac Cardiovasc Surg. 2003 Dec. 126(6):1746-52.
4.Ben Davies et al. Unifocalization of major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect is essential to achive excellent outcomes irrespective of native pulmonary artery morphology. The Journal of Thoracic and Cardiovascular Surgery. Volume 138, Number 694
5.Iyer KS, Mee RB. Staged repair of pulmonary atresia with ventricular septal defect and major systemic to pulmonary artery collaterals. Ann Thorac Surg. 1991 Jan. 51(1):65-72.
6. Carrillo SA, Mainwaring RD, Patrick WL, Bauser-Heaton HD, Peng L, Reddy VM, Hanley FL. Surgical Repair of Pulmonary Atresia With Ventricular Septal Defect and Major Aortopulmonary Collaterals With Absent Intrapericardial Pulmonary Arteries. Ann Thorac Surg. 2015 Aug;100(2):606-14.
7. Jéôme Soquet, Yves d’Udekem, Christian Brizard. Atrésie pulmonaire avec communication interventriculaire et collatérales systémicopulmonaires : unifocalisation versus reshabilitation. Journal de Chirurgie Thoracique et Cardio-Vasculaire. 2016. vol 20-Septembre