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Войти в исследования Asian cardiovascular & thoracic annals · 2013
Aortopulmonary window: a single institution surgical experience.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Naik Abhijeet V, Salvi Prasanna, Mhatre Amit, Soomar Sanah Merchant, Joshi Suresh
Аннотация
BACKGROUND: Aortopulmonary window is a rare cardiac anomaly. We report our experience with this rare lesion and highlight the criteria for treating this defect without the use of cardiopulmonary bypass.
METHODS: From May 2007 to April 2012, 10 patients, aged 1 to 10 months and weighing 3.4 to 5.5 kg, were operated on by a single surgeon using both off-pump and standard techniques. All patients underwent preoperative and postoperative echocardiographic assessment, and were followed up with clinical examinations and echocardiography.
RESULTS: There was no operative death and all patients were alive at the last follow-up. No major morbidities were noted. Two cases were operated on off-pump and they had shorter intensive care unit stays. All patients were in New York Heart Association class I on follow-up, with no residual shunt noted in follow-up echocardiograms.
CONCLUSIONS: The surgical closure of aortopulmonary window carries a low surgical risk. Early surgical closure prevents the development of pulmonary vascular disease and achieves good immediate and long-term outcomes. Off-pump repair techniques, when used judiciously, have a place in the treatment of this defect.
METHODS: From May 2007 to April 2012, 10 patients, aged 1 to 10 months and weighing 3.4 to 5.5 kg, were operated on by a single surgeon using both off-pump and standard techniques. All patients underwent preoperative and postoperative echocardiographic assessment, and were followed up with clinical examinations and echocardiography.
RESULTS: There was no operative death and all patients were alive at the last follow-up. No major morbidities were noted. Two cases were operated on off-pump and they had shorter intensive care unit stays. All patients were in New York Heart Association class I on follow-up, with no residual shunt noted in follow-up echocardiograms.
CONCLUSIONS: The surgical closure of aortopulmonary window carries a low surgical risk. Early surgical closure prevents the development of pulmonary vascular disease and achieves good immediate and long-term outcomes. Off-pump repair techniques, when used judiciously, have a place in the treatment of this defect.