Mid-term Results of Neonatal Surgical Management of Pulmonary Atresia with Intact Ventricular Septum / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 815-820, 2005.
Article
en Ko
| WPRIM
| ID: wpr-156522
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND: Pulmonary atresia with intact ventricular septum is a rare congenital cardiac disease. There have been various surgical options, but there are still controversies. MATERIAL AND METHOD: Fourteen neonates who were operated on between 1999 and 2000 were enrolled in this study. We measured Z-value of tricuspid valve by echocardiography. We performed right ventricular outflow tract transannular patch in 9 patients. Modified Blalock-Taussig shunt was placed according to the condition of patients. Mean follow up period was 46.0 months. RESULT: There were 2 operative mortality and 1 late mortality. Biventricular repair was possible in 7 patients. One and a half ventricular repair were done in 3 (tricuspid valve Z-value was -2, -2.5 and -3) and single ventricular repair in 2 patients (tricuspid z-value was -4.6, -4.5) The tricuspid valve Z-value for the patients who had biventricular repair and one and a half ventricular repair were -0.8+/-1.50 (-3.2~1.2) and -2.5+/-0.5 (-3~-2) respectively. All patients who survived had fair to good right ventricular function, good left ventricular function and good clinical states. CONCLUSION: Neonatal surgical management of pulmonary atresia with intact ventricular septum has a good surgical outcome, z-value of tricuspid may be helpful for the determination of surgical options.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Válvula Tricúspide
/
Ecocardiografía
/
Estudios de Seguimiento
/
Mortalidad
/
Función Ventricular Izquierda
/
Función Ventricular Derecha
/
Atresia Pulmonar
/
Tabique Interventricular
/
Procedimiento de Blalock-Taussing
/
Cardiopatías Congénitas
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Newborn
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Año:
2005
Tipo del documento:
Article