Midline one-stage complete unifocalization early outcomes from a single center
| Autor: | Ahmet Şaşmazel, Ahmet Çelebi, İlker Kemal Yücel, Oktay Korun, Okan Yurdakök, Şefika Türkan Kudsioğlu, Numan Ali Aydemir, Mehmet Dedemoğlu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system major aortopulmonary collaterals unifocalization Turkey Collateral Circulation 030204 cardiovascular system & hematology Pulmonary Artery Single Center Medical Records 03 medical and health sciences Intraoperative Period 0302 clinical medicine medicine Humans Cardiac Surgical Procedures Survival rate Survival analysis Retrospective Studies Original Investigation business.industry Medical record Heart Septal Defects pulmonary flow study Infant Retrospective cohort study medicine.disease Survival Analysis Surgery pulmonary atresia 030228 respiratory system lcsh:RC666-701 Pulsatile Flow Cohort Female Cardiology and Cardiovascular Medicine Pulmonary atresia business Vascular Surgical Procedures Blood Flow Velocity |
| Zdroj: | Anatolian Journal of Cardiology, Vol 22, Iss 3, Pp 125-131 (2019) Anatolian Journal of Cardiology |
| ISSN: | 2149-2263 |
| Popis: | Objective This study aims to present our experience with single-stage complete unifocalization and intraoperative flow study for the repair of ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries. Methods This study was conducted through retrospective chart review of all the patients who underwent complete single-stage midline unifocalization in a single tertiary-care institution. Results Twenty-two patients underwent midline single-stage unifocalization. The median age was 11 months (IQR: 5-21 months). The number of collateral arteries unifocalized was between one and three (median two). In-hospital mortality was 5%. Follow-up was complete; and the median follow-up regarding survival was 20 months (IQR: 10-28 months). There were three late deaths, and the estimated survival rate was 80% at 10 months and on. Out of 22 patients, ventricular septal defect was closed in the first surgery in three patients (14%) and the second surgery in four patients (19%). Total seven patients underwent surgical total repair (32%). Additionally, one out of four patients whose ventricular septal defects were closed with a fenestrated patch is under follow-up with a small ventricular septal defect, while two are waiting for ventricular septal defect closure. Therefore, total eight patients (36%) have reached total correction. Conclusion Single-stage unifocalization is a feasible treatment option in ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries. This cohort had unfavorable results regarding the rate of complete repair. The pitfalls encountered were related to problems with meticulous surgical technique, complete unifocalization, and correct implementation of the flow study. |
| Databáze: | OpenAIRE |
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