Outcomes of truncus arteriosus repair with bovine jugular vein conduit
Outcomes of truncus arteriosus repair with bovine jugular vein conduit
Tarih
2018-01-01
Yazarlar
Erek, Ersin
Temur, Bahar
Suzan, Dilek
Aydin, Selim
Yildiz, Okan
Kirat, Bans
Demir, Ibrahim Halil
Odemis, Ender
Süreli Yayın başlığı
Süreli Yayın ISSN
Cilt Başlığı
Yayınevi
BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK
Dergi Adı
TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
Özet
Background: In this study, we aimed to evaluate the outcomes of truncus arteriosus repair in patients undergoing Rastelli type truncus arteriosus. Methods: A total of 13 patients (7 males, 6 females
median age 37 days
range, 16 to 60 days) underwent repair of truncus arteriosus using Contegra conduits between January 2011 and March 2017. Preoperative diagnosis was truncus arteriosus type 1 (Edwards-Collett) in eight, type 2 in three, type 3 in one, and type 4 in one patient. Contegra conduits used for operations were 14 mm (n=5), 12 mm (n=7), and 16 mm (n=1). Results: Early death was seen in two patients (15.4\%). The median intensive care and hospital stays were 10 (range, 6 to 14) and 20 (range, 14 to 41) days, respectively. The median follow-up was 36 (range, 2 to 66) months. In four patients (31\%), the conduit sizes severely increased during follow-up and reached 23 mm in two patients and 20 mm in one patient, and 18 mm in the other patient. Three patients had moderate distal conduit stenosis. Moderate pulmonary insufficiency was detected in four patients and severe pulmonary insufficiency in one patient. Two patients had moderate truncal valve insufficiency and one patient had moderate residual ventricular septal defect. None of the patients needed reoperation. Conclusion: Contegra conduit is a good alternative for repair of truncus arteriosus in infants
however close follow-up is necessary, as distal conduit stenosis and conduit dilatation may develop.
median age 37 days
range, 16 to 60 days) underwent repair of truncus arteriosus using Contegra conduits between January 2011 and March 2017. Preoperative diagnosis was truncus arteriosus type 1 (Edwards-Collett) in eight, type 2 in three, type 3 in one, and type 4 in one patient. Contegra conduits used for operations were 14 mm (n=5), 12 mm (n=7), and 16 mm (n=1). Results: Early death was seen in two patients (15.4\%). The median intensive care and hospital stays were 10 (range, 6 to 14) and 20 (range, 14 to 41) days, respectively. The median follow-up was 36 (range, 2 to 66) months. In four patients (31\%), the conduit sizes severely increased during follow-up and reached 23 mm in two patients and 20 mm in one patient, and 18 mm in the other patient. Three patients had moderate distal conduit stenosis. Moderate pulmonary insufficiency was detected in four patients and severe pulmonary insufficiency in one patient. Two patients had moderate truncal valve insufficiency and one patient had moderate residual ventricular septal defect. None of the patients needed reoperation. Conclusion: Contegra conduit is a good alternative for repair of truncus arteriosus in infants
however close follow-up is necessary, as distal conduit stenosis and conduit dilatation may develop.
Açıklama
Anahtar kelimeler
Congenital heart disease, infant, truncus arteriosus, xenograft