Zhonghua yi xue za zhi · 2007
[Effects of right ventricular outflow tract reconstruction with modified autologous pericardial monocuspid valve in patients with tetralogy of Fallot: a clinical research].
Контролируемое клиническое исследованиеАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Zhao Wen-zeng, Wen Bing, Shu Li-liang
Аннотация
OBJECTIVE: To evaluate the application value of right ventricular outflow tract (RVOT) reconstruction with an autologous pericardial monocuspid valve to prevent pulmonary regurgitation after total correction of tetralogy of Fallot (TOF).
METHOD: Twenty patients suffering from TOF with pulmonary artery hypoplasia, 11 males and 9 females, aged (8.43+/-3.83), received surgical total correction with RVOT reconstruction with autologous pericardial monocuspid valve. During the operation, the RVOT was enlarged with the autologous pericardial patch, and a predesigned part of the pericardial patch was folded to form a big artificial valve, which was stitched along with the pericardial patch. Another 20 patients, 12 males and 8 females, aged (8.47+/-3.94), underwent traditional RVOT reconstruction with traditional pericardial monocuspid valve patch. Post-operational follow-up was conducted for 6 months.
RESULTS: No surgical mortality was recorded after operation. The degree of pulmonary valve regurgitation in the research group was less than that in the control group.
CONCLUSION: Modified autologous pericardial monocuspid valve can prevent pulmonary regurgitation better.
METHOD: Twenty patients suffering from TOF with pulmonary artery hypoplasia, 11 males and 9 females, aged (8.43+/-3.83), received surgical total correction with RVOT reconstruction with autologous pericardial monocuspid valve. During the operation, the RVOT was enlarged with the autologous pericardial patch, and a predesigned part of the pericardial patch was folded to form a big artificial valve, which was stitched along with the pericardial patch. Another 20 patients, 12 males and 8 females, aged (8.47+/-3.94), underwent traditional RVOT reconstruction with traditional pericardial monocuspid valve patch. Post-operational follow-up was conducted for 6 months.
RESULTS: No surgical mortality was recorded after operation. The degree of pulmonary valve regurgitation in the research group was less than that in the control group.
CONCLUSION: Modified autologous pericardial monocuspid valve can prevent pulmonary regurgitation better.