Jae Gun Kwak, Eung Re Kim, Tae-Ke Yun, Sungkyu Cho, Chang-Ha Lee, W. Kim
{"title":"手术对室间隔完整肺动脉闭锁患者三尖瓣生长的影响:改良右室大修手术的中期结果","authors":"Jae Gun Kwak, Eung Re Kim, Tae-Ke Yun, Sungkyu Cho, Chang-Ha Lee, W. Kim","doi":"10.32604/chd.2023.027758","DOIUrl":null,"url":null,"abstract":"Objectives: To access the effectiveness of our modi fi ed right-ventricular overhauling procedure on tricuspid valve (TV) growth in patients with pulmonary atresia with intact ventricular septum (PAIVS). Methods: We retrospectively reviewed 21 patients with PAIVS who underwent modi fi ed right ventricular overhauling (mRVoh) between 2008 and 2019 at two institutions. Our mRVoh consisted of wide resection of hypertrophied infundibular and trabecular muscle, peeling off fi brotic endocardial tissue in the right ventricle (RV) cavity, surgical pulmonary valvotomy, and Blalock-Taussig shunt or banding of ductus arteriosus under cardiopulmonary bypass. The TV annulus sizes were measured and analyzed using echocardiography before and after mRVoh. Results: No mortalities were observed during a median follow-up of 3 years (interquartile range: 1.3 – 4.7 years) of follow-up were noted. mRVoh was performed at a median age of 163.5 days (range: 21 – 560 days), including seven neonates and two infants (<60 days). During follow-up, the median TV annular z-score increased signi fi cantly from − 2.24 to − 1.15 before and after mRVoh ( p = 0.004). In ten patients with a prior history of percutaneous interventions for RV out fl ow tract (RVOT) widening at least 6 months before mRVoh, the TV annular z-score signi fi cantly changed during the period after mRVoh ( − 2.03 to − 1.61, p = 0.028) compared with the period before mRVoh ( − 2.51 → – 2.03, p = 0.575) after percutaneous intervention only. Conclusions: mRVoh in PAIVS patients was positively associated with TV annular growth, and it was more effective than percutaneous RVOT widening interventions without mRVoh.","PeriodicalId":10666,"journal":{"name":"Congenital Heart Disease","volume":"1 1","pages":""},"PeriodicalIF":0.3000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Role of Surgery on Growth of Tricuspid Valve in Pulmonary Atresia with Intact Ventricular Septum: Mid-Term Results of Modified Right-Ventricular Overhauling Procedure\",\"authors\":\"Jae Gun Kwak, Eung Re Kim, Tae-Ke Yun, Sungkyu Cho, Chang-Ha Lee, W. Kim\",\"doi\":\"10.32604/chd.2023.027758\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objectives: To access the effectiveness of our modi fi ed right-ventricular overhauling procedure on tricuspid valve (TV) growth in patients with pulmonary atresia with intact ventricular septum (PAIVS). Methods: We retrospectively reviewed 21 patients with PAIVS who underwent modi fi ed right ventricular overhauling (mRVoh) between 2008 and 2019 at two institutions. Our mRVoh consisted of wide resection of hypertrophied infundibular and trabecular muscle, peeling off fi brotic endocardial tissue in the right ventricle (RV) cavity, surgical pulmonary valvotomy, and Blalock-Taussig shunt or banding of ductus arteriosus under cardiopulmonary bypass. The TV annulus sizes were measured and analyzed using echocardiography before and after mRVoh. Results: No mortalities were observed during a median follow-up of 3 years (interquartile range: 1.3 – 4.7 years) of follow-up were noted. mRVoh was performed at a median age of 163.5 days (range: 21 – 560 days), including seven neonates and two infants (<60 days). During follow-up, the median TV annular z-score increased signi fi cantly from − 2.24 to − 1.15 before and after mRVoh ( p = 0.004). In ten patients with a prior history of percutaneous interventions for RV out fl ow tract (RVOT) widening at least 6 months before mRVoh, the TV annular z-score signi fi cantly changed during the period after mRVoh ( − 2.03 to − 1.61, p = 0.028) compared with the period before mRVoh ( − 2.51 → – 2.03, p = 0.575) after percutaneous intervention only. Conclusions: mRVoh in PAIVS patients was positively associated with TV annular growth, and it was more effective than percutaneous RVOT widening interventions without mRVoh.\",\"PeriodicalId\":10666,\"journal\":{\"name\":\"Congenital Heart Disease\",\"volume\":\"1 1\",\"pages\":\"\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Congenital Heart Disease\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.32604/chd.2023.027758\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Congenital Heart Disease","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.32604/chd.2023.027758","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Role of Surgery on Growth of Tricuspid Valve in Pulmonary Atresia with Intact Ventricular Septum: Mid-Term Results of Modified Right-Ventricular Overhauling Procedure
Objectives: To access the effectiveness of our modi fi ed right-ventricular overhauling procedure on tricuspid valve (TV) growth in patients with pulmonary atresia with intact ventricular septum (PAIVS). Methods: We retrospectively reviewed 21 patients with PAIVS who underwent modi fi ed right ventricular overhauling (mRVoh) between 2008 and 2019 at two institutions. Our mRVoh consisted of wide resection of hypertrophied infundibular and trabecular muscle, peeling off fi brotic endocardial tissue in the right ventricle (RV) cavity, surgical pulmonary valvotomy, and Blalock-Taussig shunt or banding of ductus arteriosus under cardiopulmonary bypass. The TV annulus sizes were measured and analyzed using echocardiography before and after mRVoh. Results: No mortalities were observed during a median follow-up of 3 years (interquartile range: 1.3 – 4.7 years) of follow-up were noted. mRVoh was performed at a median age of 163.5 days (range: 21 – 560 days), including seven neonates and two infants (<60 days). During follow-up, the median TV annular z-score increased signi fi cantly from − 2.24 to − 1.15 before and after mRVoh ( p = 0.004). In ten patients with a prior history of percutaneous interventions for RV out fl ow tract (RVOT) widening at least 6 months before mRVoh, the TV annular z-score signi fi cantly changed during the period after mRVoh ( − 2.03 to − 1.61, p = 0.028) compared with the period before mRVoh ( − 2.51 → – 2.03, p = 0.575) after percutaneous intervention only. Conclusions: mRVoh in PAIVS patients was positively associated with TV annular growth, and it was more effective than percutaneous RVOT widening interventions without mRVoh.
期刊介绍:
Congenital Heart Disease is an open-access journal focusing on congenital heart disease in children and adults. Though the number of infants born with heart disease each year is relatively small (approximately 1% of the population), advances in treating such malformations have led to increased life spans for this population. Consequently, today most patients treated for congenital heart disease are over the age of 20. What are the special needs of adults with congenital heart disease? What are the latest developments in the care of the fetus, infants, and children? Who should treat these patients? How should they be treated?
Congenital Heart Disease focuses on these questions and more. Conceived as a forum for the most up-to-date information on congenital heart disease, the journal is led by Editor-in-Chief Vladimiro L. Vida, MD, Ph.D., Professor in Cardiac Surgery, University of Padua in Italy, as well as an international editorial board. Congenital Heart Disease publishes articles on heart disease as it relates to the following areas:
• Basic research of congenital heart disease
• Clinical pediatric and adult cardiology
• Cardiac imaging
• Preventive cardiology
• Diagnostic and interventional cardiac catheterization
• Electrophysiology
• Surgery
• Long-term follow-up, particularly as it relates to older children and adult congenital heart disease
• Exercise and exercise physiology in the congenital patient
• Post-op and critical care
• Common disorders such as syncope, chest pain, murmurs, as well as acquired disorders such as Kawasaki syndrome
The journal includes clinical studies, invited editorials, state-of-the-art reviews, case reports, articles focusing on the history and development of congenital heart disease, and CME material. Occasional issues focus on special topics.
Readership: Congenital Heart Disease was created for pediatric cardiologists; adult cardiologists who care for patients with congenital heart disease; pediatric and pediatric cardiology nurses; surgeons; radiologists; anesthesiologists; critical care physicians and nurses; and adult support staff involved in the care of patients with congenital heart disease.