一期新生儿Yasui手术:介绍我们的手术经验和一种新的决策算法

IF 0.3 Q4 SURGERY

Cirugia Cardiovascular Pub Date : 2024-03-01 DOI:10.1016/j.circv.2022.11.001

Consuelo A. Gotor , Enrique García , Francisco J. Arias , Miguel A. Granados , Elena Montañes , Alberto Mendoza , María T. Garcia , Lorenzo Boni

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引用次数: 0

摘要

本研究旨在介绍我们对三名接受新生儿安井手术的患者的治疗经验，并展示新的决策算法。患者 1、2 和 3 的心肺旁路时间分别为 275、249 和 391 分钟。术后，患者 1、2 和 3 在重症监护室的住院时间分别为 29、22 和 24 天。患者出院时情况良好。随访期间出现的并发症包括：患者1需要经皮介入治疗，在右肺分支植入支架（术后6个月），在右心室-肺动脉导管植入支架（42个月）。患者 2 在术后 16 个月时需要更换右室-肺动脉导管，并修复中重度左室流出道梗阻。患者 3 因主动脉弓不同程度狭窄和室间隔缺损残留，术后 3 个月需要再次手术。目前，所有患者均存活，超声心动图显示双心室功能正常。

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One-stage neonatal Yasui procedure: Presentation of our surgical experience and a new decision-making algorithm

Objectives

The aim of this study is to present our experience with three patients who underwent a neonatal Yasui procedure, and to show the new decision-making algorithm.

Methods

This is a series of three neonates operated on at our hospital between 2017 and 2022.

Results

All the patients underwent a primary Yasui. The duration of cardiopulmonary bypass was 275, 249 and 391 min, in patient 1, 2 and 3, respectively. After surgery, the Intensive Care Unit stay of patients 1, 2 and 3 was 29, 22 and 24 days, respectively. The patients were discharged in good condition. Subsequent complications during follow-up included the need for percutaneous intervention in patient 1 for the implantation of a stent in the right pulmonary branch (at 6 months postoperatively) and a stent in the right ventricle-pulmonary artery conduit (at 42 months). Patient 2 required right ventricle-pulmonary artery conduit replacement and repair of moderate-severe left ventricular outflow tract obstruction at 16 months postoperatively. Patient 3 needed a reoperation at 3 months postoperatively due to aortic arch stenosis at different levels and a residual ventricular septal defect. Currently, all patients are alive with adequate echocardiographic biventricular function.