Tricuspid valve detachment for ventricular septal defect closure in infants <5 kg: should we be hesitant?
| Autor: | Jeong Ryul Lee, Jooncheol Min, Jae Gun Kwak, Jae Hong Lee, Sungkyu Cho, Yujin Kwak, Woong Han Kim, Hye Won Kwon |
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| Rok vydání: | 2021 |
| Předmět: |
Heart Septal Defects
Ventricular Pulmonary and Respiratory Medicine medicine.medical_specialty Regurgitation (circulation) 030204 cardiovascular system & hematology Body weight Intracardiac injection 03 medical and health sciences Defect closure 0302 clinical medicine Tricuspid Valve Insufficiency Interquartile range Internal medicine medicine Humans Cardiac Surgical Procedures Retrospective Studies Tricuspid valve business.industry Infant General Medicine medicine.disease Treatment Outcome medicine.anatomical_structure 030228 respiratory system Cardiology Surgery Tricuspid Valve Cardiology and Cardiovascular Medicine business Atrioventricular block Follow-Up Studies |
| Zdroj: | European Journal of Cardio-Thoracic Surgery. 60:544-551 |
| ISSN: | 1873-734X 1010-7940 |
| Popis: | OBJECTIVES We compared the clinical outcomes between tricuspid valve detachment (TVD) and non-TVD for ventricular septal defect (VSD) closure in infants METHODS From January 2004 to April 2020, 462 infants RESULTS The median age and body weight at operation were 1.9 months [interquartile range(IQR), 1.4–2.5] and 4.2 kg (IQR, 3.7–4.6). The median follow-up duration was 83.4 months (IQR, 43.5–130.4). After matching, 44 pairs were extracted from each group. There were no significant differences in all-cause mortality (P = 0.176), reoperation (P = 0.172), postoperative morbidities, including residual VSD, aortic regurgitation, atrioventricular block and significant tricuspid regurgitation (TR) (P = 0.346) between group D and group N. However, group D showed significantly less TR progression during follow-up (P = 0.019). CONCLUSIONS In infants |
| Databáze: | OpenAIRE |
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