婴儿期以后总动脉干修复的手术结果

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Chinnaswamy Reddy, Ameya Kaskar, Govardhan Reddy, Niranjan Soundararajan, S Satheesh, Viralam S Kiran, Pujar Venkateshauarya Suresh
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引用次数: 1

摘要

背景:本研究旨在分析婴儿期后普通动脉干修复术的早期和长期临床结果:本研究旨在从早期和远期疗效两方面分析婴儿期后总动脉干修复术的临床疗效:2003年1月至2019年12月期间,我院共有56例患者接受了超婴幼儿期动脉总干修补术。中位年龄为34.5个月,51.8%为女性,48.2%为男性:48.2%为1型,46.4%为2型,5.4%为3型。17.9%的患者接受了右心室流出道重建的直接连接技术,其余患者接受了导管。最常见的三尖瓣解剖类型是三尖瓣(82.1%)。早期死亡率为 7%。单变量分析发现,年龄(p = 0.003)、体重(p = 0.04)、通气时间(p = 0.036)和肺动脉高压危象(p ≤ 0.001)是影响早期死亡率的因素。在我们的婴儿期后总动脉主干修复队列中,10年后的存活率、无右室流出道重建再介入、无≥中度导水管阻塞、无右室功能受损、无≥中度截断瓣反流的比例分别为76.7%、89.7%、74%、88.6%和66.3%:结论:对年龄超过 1 岁的患者进行总动脉干修复具有挑战性;但就死亡率和再介入治疗而言,早期和晚期修复效果均令人满意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Surgical outcomes of common arterial trunk repair beyond infancy.

Background: The aim of this study is to analyze the clinical outcomes of common arterial trunk repair beyond infancy in terms of both early- and long-term outcomes.

Methods: Between January 2003 and December 2019, 56 patients underwent repair for common arterial trunk beyond infancy at our institute. Median age was 34.5 months, 51.8% were females, and 48.2% were males.

Results: 48.2% were type 1, 46.4% were type 2, and 5.4% were type 3. 17.9% patients underwent direct connection technique for right ventricular outflow tract reconstruction; remaining received a conduit. The most common type of truncal valve anatomy was tricuspid (82.1%). Early mortality was 7%. Univariable analysis identified age (p = 0.003), weight (p = 0.04), duration of ventilation (p = 0.036), and pulmonary hypertensive crisis (p ≤ 0.001) as factors affecting early mortality. In our overall cohort of beyond infancy repair for common arterial trunk, at 10 years, the survival, freedom from reintervention for right ventricular outflow tract reconstruction, freedom from ≥ moderate conduit obstruction, freedom from impaired right ventricle function, and freedom from ≥ moderate truncal valve regurgitation were 76.7%, 89.7%, 74%, 88.6%, and 66.3%, respectively.

Conclusion: Repair for common arterial trunk in patients presenting beyond 1 year of age is challenging; however, it can be done with satisfactory early and late outcomes in terms of mortality and reintervention.

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来源期刊
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.20
自引率
14.30%
发文量
141
期刊介绍: The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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