Tricuspid valve detachment for transatrial closure of ventricular septal defects

Autor: Krishnanaik Shivaprakasha, Sivadas Radha Anil, Suresh G Rao, Sajan Koshy, Gopalraj S. Sunil, Seetharaman Dhinakar
Rok vydání: 2003
Předmět:
Pulmonary and Respiratory Medicine
Adult
Heart Septal Defects
Ventricular
Male
congenital
hereditary
and neonatal diseases and abnormalities
medicine.medical_specialty
Time Factors
Adolescent
Regurgitation (circulation)
030204 cardiovascular system & hematology
03 medical and health sciences
Defect closure
0302 clinical medicine
Postoperative Complications
Internal medicine
Intensive care
Outcome Assessment
Health Care
medicine
Humans
cardiovascular diseases
Heart Atria
Child
Tetralogy of Fallot
Heart septal defect
Tricuspid valve
business.industry
Cardiovascular Surgical Procedures
Infant
General Medicine
Surgical correction
Middle Aged
medicine.disease
Double Outlet Right Ventricle
Tricuspid Valve Insufficiency
Surgery
medicine.anatomical_structure
030228 respiratory system
Ventricle
Echocardiography
Child
Preschool
cardiovascular system
Cardiology
Female
Tricuspid Valve
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Zdroj: Asian cardiovascularthoracic annals. 10(4)
ISSN: 0218-4923
Popis: Tricuspid leaflet detachment improves visualization and accuracy of closure of ventricular septal defects via the transatrial route. Between July 1998 and March 2001, surgical correction was performed in 296 cases of isolated ventricular septal defect, 215 cases of tetralogy of Fallot, and 16 cases of double-outlet right ventricle. Of these, 132 patients (79 with isolated ventricular septal defect, 49 with tetralogy of Fallot, and 4 with double-outlet right ventricle) underwent transatrial repair with temporary detachment of tricuspid leaflets for ventricular septal defect closure. The septal leaflet was detached in most cases, with anterior or posterior leaflets being detached when indicated. Median duration of intensive care was 3.6 days, and median hospital stay was 7 days. There was no incidence of tricuspid regurgitation attributable to leaflet detachment, as confirmed by postoperative echocardiography. Reoperation was not required for a residual defect or tricuspid regurgitation. The benefits of temporary leaflet detachment for transatrial repair of various difficult defects far outweigh the risk of postoperative tricuspid regurgitation.
Databáze: OpenAIRE
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