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Войти в исследования Zhonghua wai ke za zhi [Chinese journal of surgery] · 2004
[Surgical treatment for double outlet of the right ventricle].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Wu Qing-yu, Chu Jun-min
Аннотация
OBJECTIVE: To summarize the experience and results of surgical treatment for double outlet of the right ventricle (DORV).
METHODS: From May 1985 to December 2001, 41 patients with DORV with age ranging from 10 months to 21 (mean age 10 +/- 6) years underwent surgical treatment. There were 26 male and 15 female patients. 14 patients underwent the classical Rastelli procedure (an intraventricular tunnel and a extra cardiac conduit repair); intraventricular tunnel and relive right ventricle outflow tract directly with and with out pericardial patch in 11; and modified Rastelli procedure in 11; total cavopulmonary connection (TCPC) in 2; Bidirection cavopulmnary connection in 2; Arterial switch operation in 1. All patients underwent the procedure by cardiopulmonary bypass.
RESULTS: There were 1 early death, 40 patients were discharged without any complication. Thirty-six patients were followed up from 5 months to 17 years. Reoperation in 3, because of residual ventricular septal defect in 1 and left ventricle outflow tract stenosis in 2. All patients were asymptomatic and did well in ordinary life. The cardiac function were in NYHA class I in 34 and class II in 2. The outcome was satisfactory.
CONCLUSIONS: Biventricular repair can be achieved in most patients with DORV with satisfactory early and late results, and the late survival was exciting. In complex DORV, a right heart bypass procedure is related to a lower surgical mortality.
METHODS: From May 1985 to December 2001, 41 patients with DORV with age ranging from 10 months to 21 (mean age 10 +/- 6) years underwent surgical treatment. There were 26 male and 15 female patients. 14 patients underwent the classical Rastelli procedure (an intraventricular tunnel and a extra cardiac conduit repair); intraventricular tunnel and relive right ventricle outflow tract directly with and with out pericardial patch in 11; and modified Rastelli procedure in 11; total cavopulmonary connection (TCPC) in 2; Bidirection cavopulmnary connection in 2; Arterial switch operation in 1. All patients underwent the procedure by cardiopulmonary bypass.
RESULTS: There were 1 early death, 40 patients were discharged without any complication. Thirty-six patients were followed up from 5 months to 17 years. Reoperation in 3, because of residual ventricular septal defect in 1 and left ventricle outflow tract stenosis in 2. All patients were asymptomatic and did well in ordinary life. The cardiac function were in NYHA class I in 34 and class II in 2. The outcome was satisfactory.
CONCLUSIONS: Biventricular repair can be achieved in most patients with DORV with satisfactory early and late results, and the late survival was exciting. In complex DORV, a right heart bypass procedure is related to a lower surgical mortality.