Journal of cardiac surgery · 2015
Single cusp replacement in patients with ventricular septal defect and aortic insufficiency.
СтатьяНазвание и аннотация: Перевод в очереди
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Song Laichun, Hua Zhengdong, Chen Xufa, Yu Huadong, Wang Bo, Jin Jing, Zhou Xin, Fang Jihui, Tao Liang
Аннотация
OBJECTIVE: The aim of this study was to analyze the mid- and long-term outcome of single cusp replacement in patients with ventricular septal defect and aortic insufficiency.
METHODS: From September 2005 through March 2014, 172 patients underwent single cusp replacement and ventricular septal defect (VSD) closure. The median age was 19.5 years (range, 9 months to 67 years). Additional techniques were used to repair associated anomalies including sinus of Valsalva aneurysm, patent ductus arteriosus, patent foramen ovale, subaortic membrane, and intramural coronary artery.
RESULTS: One patient with large left ventricle (preoperative end-diastolic diameter: 9.8 cm) died after the procedure from incurable heart failure. Four patients required a second pump run for residual aortic insufficiency (AI) (two patients, 1.16%) and residual VSD (two patients, 1.16%). Four patients required re-exploration for postoperative bleeding or cardiac tamponade. Mean follow-up was 53.27 ± 25.37 months (median, 56.5 months; range, 3 to 104 months). Redo aortic valve surgery was performed in three patients. Three patients had moderate-severe AI during the following period without reoperation. There was no post-operative endocarditis.
CONCLUSION: Single cusp replacement can be safely used in patients with VSD-AI.
METHODS: From September 2005 through March 2014, 172 patients underwent single cusp replacement and ventricular septal defect (VSD) closure. The median age was 19.5 years (range, 9 months to 67 years). Additional techniques were used to repair associated anomalies including sinus of Valsalva aneurysm, patent ductus arteriosus, patent foramen ovale, subaortic membrane, and intramural coronary artery.
RESULTS: One patient with large left ventricle (preoperative end-diastolic diameter: 9.8 cm) died after the procedure from incurable heart failure. Four patients required a second pump run for residual aortic insufficiency (AI) (two patients, 1.16%) and residual VSD (two patients, 1.16%). Four patients required re-exploration for postoperative bleeding or cardiac tamponade. Mean follow-up was 53.27 ± 25.37 months (median, 56.5 months; range, 3 to 104 months). Redo aortic valve surgery was performed in three patients. Three patients had moderate-severe AI during the following period without reoperation. There was no post-operative endocarditis.
CONCLUSION: Single cusp replacement can be safely used in patients with VSD-AI.
Предметные рубрики MeSH
AdolescentAdultAgedAortic Valve InsufficiencyCardiac Surgical ProceduresCardiovascular AbnormalitiesChildChild, PreschoolFemaleFollow-Up StudiesHeart Septal Defects, VentricularHeart Valve Prosthesis ImplantationHumansInfantMaleMiddle AgedReoperationSeverity of Illness IndexTime FactorsTreatment OutcomeYoung Adult