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Intermediate outcome for the single-stage surgical repair of aortopulmonary window associated with interrupted aortic arch.
Nguyen, Chi Hoang Linh; Nguyen, Truong Ly Thinh; Tran, Vinh Quang; Nguyen, Mai Tuan; Mai, Duyen Dinh; Doan, Anh Vuong; Nguyen, Quang Ngoc.
Afiliación
  • Nguyen CHL; Department of Cardiology, Hanoi Medical University, Hanoi, Vietnam.
  • Nguyen TLT; Department of Cardiovascular Surgery, Children's Heart Center, National Children's Hospital, Hanoi, Vietnam.
  • Tran VQ; Department of Cardiovascular Surgery, Children's Heart Center, National Children's Hospital, Hanoi, Vietnam.
  • Nguyen MT; Department of Cardiovascular Surgery, Children's Heart Center, National Children's Hospital, Hanoi, Vietnam.
  • Mai DD; Department of Cardiovascular Surgery, Children's Heart Center, National Children's Hospital, Hanoi, Vietnam.
  • Doan AV; Department of Cardiovascular Surgery, Children's Heart Center, National Children's Hospital, Hanoi, Vietnam.
  • Nguyen QN; Department of Cardiology, Hanoi Medical University, Hanoi, Vietnam.
Interdiscip Cardiovasc Thorac Surg ; 36(6)2023 Jun 01.
Article en En | MEDLINE | ID: mdl-37184919
OBJECTIVES: Aortopulmonary window (APW) associated with an interrupted aortic arch (IAA) is a rare cardiac malformation with significant mortality and morbidity. The goal of this study was to report the intermediate outcomes of single-stage repair concentrating on the surgical techniques and postoperative reintervention for this rare cardiac lesion. METHODS: Eleven patients were diagnosed with IAA-associated APW and underwent single-stage surgical repair at Vietnam National Children's Hospital. RESULTS: The APW anatomy types were types I, II and III in 1, 4 and 6 patients, respectively. The IAA morphology was type A in 9 patients and type B in 2 patients. The median age was 27 [interquartile range (IQR) 6-79] days, and the median weight was 3.5 (IQR 2.8-4.5) kg. The aortic arch was repaired using direct end-to-side tissue anastomosis in 7 patients, and patch aortoplasty was performed in 4 patients. Six patients underwent APW closure with an intra-aortic baffle, and 5 patients required right pulmonary artery detachment and reimplantation. One early death occurred. Four patients required reinterventions: 1 patient required reoperation due to aortic stenosis and 3 required balloon angioplasty for either recurrent aortic arch stenosis (n = 1) or right pulmonary stenosis (n = 2) with a mean follow-up time of 3.1 years (IQR 0.5-4.3 years). CONCLUSIONS: Single-stage repair of IAA-associated APW can be achieved with good survival outcomes in children. However, the need for repeat reintervention or reoperation remains high, and the growth of both the aorta and pulmonary arteries should follow carefully as the patient grows. CLINICAL REGISTRATION NUMBER: VNCH-RICH-18-96.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Interdiscip Cardiovasc Thorac Surg Año: 2023 Tipo del documento: Article País de afiliación: Vietnam Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Interdiscip Cardiovasc Thorac Surg Año: 2023 Tipo del documento: Article País de afiliación: Vietnam Pais de publicación: Reino Unido