Surgery for Truncus Arteriosus: Contemporary Practice
| Autor: | Igor E. Konstantinov, Phillip S. Naimo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Population Persistent truncus arteriosus 030204 cardiovascular system & hematology Asymptomatic 03 medical and health sciences 0302 clinical medicine Coronary artery anomaly Humans Medicine Ventricular outflow tract cardiovascular diseases Cardiac Surgical Procedures education education.field_of_study business.industry Interrupted aortic arch Infant Newborn Perioperative Truncal valve medicine.disease Truncus Arteriosus Persistent Surgery Treatment Outcome 030228 respiratory system cardiovascular system medicine.symptom Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
| Zdroj: | The Annals of Thoracic Surgery. 111:1442-1450 |
| ISSN: | 0003-4975 |
| Popis: | Surgery for truncus arteriosus has an early mortality of 3% to 20%, with a long-term survival of approximately 75% at 20 years. Nowadays, truncus arteriosus repair is mostly done in the neonatal period together with a single-staged repair of concomitant cardiovascular anomalies. There are many challenging subgroups of patients with truncus arteriosus, including those with clinically significant truncal valve insufficiency, an interrupted aortic arch, or a coronary artery anomaly. In fact, truncal valve competency appears to be the most important factor influencing the outcomes after truncus arteriosus repair. The use of a conduit during truncus arteriosus repair invariably requires reoperation on the right ventricular outflow tract. Through improvements in perioperative techniques over time, many children are now living well into adulthood after repair of truncus arteriosus, albeit with a high rate of reoperation. Despite this, the long-term outcomes of truncus arteriosus repair are good, with many patients being asymptomatic and with a quality of life comparable to the general population. |
| Databáze: | OpenAIRE |
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