A gray zone in the literature: indications, options, and outcomes for surgical repair of pulmonary artery aneurysms
| Autor: | Ufuk Uslu, Ergin Arslanoğlu, Nihat Çine, Eylem Tuncer, Seda Arısut, Esra Ozcan, Cüneyt Arkan, Kenan Abdurrahman Kara, Fatih Yigit, Hakan Ceyran |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Adult medicine.medical_specialty Time Factors Pulmonary Artery Asymptomatic Young Adult medicine.artery medicine Humans Ventricular outflow tract Child Retrospective Studies Surgical repair Artery aneurysm business.industry Significant difference General Medicine Middle Aged Aneurysm Surgery Cardiac surgery Treatment Outcome Pediatrics Perinatology and Child Health Pulmonary artery Ventricular pressure Female medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiology in the Young. 32:1638-1643 |
| ISSN: | 1467-1107 1047-9511 |
| Popis: | Pulmonary artery aneurysms are rare. They are characterised by an aneurysmatic dilatation of the pulmonary vascular bed, including the main pulmonary artery or the accompanying pulmonary artery branches. Increases in pulmonary flow and pulmonary artery pressure increase the risk of rupture: when these conditions are detected, surgical intervention is necessary.This study is a retrospective analysis of 33 patients treated in our paediatric cardiac surgery clinic from 2012 to 2020. Aneurysms and pseudoaneurysms in patients who were patched for right ventricular outflow tract reconstruction and corrected with a conduit were excluded from the study. Seventeen (51.5%) of the patients included in the study were female and 16 (48.5%) were male. The patients were aged between 23 and 61 years (mean 30.66 ± 12.72 years). Graft interpositions were performed in 10 patients (30.3%) and pulmonary artery plications were performed in 23 patients (69.7%) to repair aneurysms. There was no significant difference in mortality between the two groups (p > 0.05).Pulmonary artery aneurysm interventions are safe, life-saving treatments that prevent fatal complications such as ruptures, but at present there is no clear guidance regarding surgical timing or treatment strategies. Pulmonary artery interventions should be performed in symptomatic patients with dilations ≥5 cm or asymptomatic patients with dilations ≥8 cm; pulmonary artery pressure, right ventricular systolic pressure, and pulmonary artery aneurysm diameter must be considered when planning surgeries, their timing, and making decisions regarding indications. Experienced surgical teams can achieve satisfactory results using one of the following surgical techniques: reduction pulmonary arterioplasty, plication, or graft replacement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|