Alternative techniques of right ventricular outflow tract reconstruction for surgical repair of truncus arteriosus

被引:3
|
作者
Padalino, Massimo A. [1 ]
Celmeta, Bleri [1 ]
Vedovelli, Luca [2 ]
Castaldi, Biagio [3 ]
Vida, Vladimiro L. [1 ]
Stellin, Giovanni [1 ]
机构
[1] Univ Padua, Dept Cardiac Thorac Vasc Sci & Publ Hlth, Pediat & Congenital Cardiac Surg Unit, Padua, Italy
[2] Univ Padua, Dept Cardiac Thorac Vasc Sci & Publ Hlth, Unit Biostat Epidemiol & Publ Hlth, Padua, Italy
[3] Univ Padua, Dept Woman & Childs Hlth, Pediat & Congenital Cardiol Unit, Padua, Italy
关键词
Congenital heart disease; Truncus arteriosus; Right ventricular outflow tract reconstruction; Follow-up; Heart surgery; TETRALOGY; FALLOT; ARTERY;
D O I
10.1093/icvts/ivaa025
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES: This study aimed to evaluate the outcomes and feasibility of different techniques of reconstruction of the right ventricular outflow tract (RVOT) in surgical repair of truncus arteriosus. METHODS: We retrospectively reviewed all consecutive patients with truncus arteriosus who underwent successful surgical repair in our centre between 1994 and 2017. We analysed late results according to the type of RVOT repair. RESULTS: We collected data from 29 survivors after truncus arteriosus repair. Six (20%) of them were affected by DiGeorge syndrome. The RVOT reconstruction was achieved using a valved conduit in 58.6%, while a direct right ventricle-pulmonary artery (RV-PA) anastomosis, with or without the interposition of the left atrial appendage, was performed in the remaining. At a median follow-up time of 7.9 years (interquartile range 1.8-13.1), 6 patients (3 affected by DiGeorge syndrome) died. Between the 2 groups, there were no differences in terms of the late mortality and onset of adverse events. However, the use of a conduit seemed more prone to reintervention and onset of adverse events. CONCLUSIONS: Different RVOT reconstruction techniques are safe and have similar late outcomes. However, use of a direct RV-PA anastomosis and left atrial appendage interposition may reduce the need for reoperation in the long term.
引用
收藏
页码:910 / 916
页数:7
相关论文
共 50 条
  • [1] Truncus arteriosus repair: Influence of techniques of right ventricular outflow tract reconstruction
    LacourGayet, F
    Serraf, A
    Komiya, T
    SousaUva, M
    Bruniaux, J
    Touchot, A
    Roux, D
    Neuville, P
    Planche, C
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1996, 111 (04): : 849 - 856
  • [2] Truncus arteriosus repair: Influence of techniques of right ventricular outflow tract reconstruction
    Kreutzer, GOA
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1997, 113 (02): : 425 - 425
  • [3] Repair of truncus arteriosus: a considered approach to right ventricular outflow tract reconstruction
    Danton, MHD
    Barron, DJ
    Stumper, O
    Wright, JG
    De Giovannni, J
    Silove, ED
    Brawn, WJ
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2001, 20 (01) : 95 - 104
  • [4] Repair of Truncus Arteriosus: Choice of Right Ventricle Outflow Reconstruction
    Xu, Zhi Wei
    Shen, Jia
    JOURNAL OF CARDIAC SURGERY, 2010, 25 (06) : 724 - 729
  • [5] Commentary: Right ventricular outflow tract reconstruction during repair of truncus arteriosus: Everything old is new again Comment
    Clark, Joseph B.
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2021, 162 (04): : 1216 - 1217
  • [6] Right Ventricular Outflow Tract Reconstruction in Infant Truncus Arteriosus: A 37-year Experience
    Herrmann, Jeremy L.
    Larson, Emilee E.
    Mastropietro, Christopher W.
    Rodefeld, Mark D.
    Turrentine, Mark W.
    Nozaki, Ryoko
    Brown, John W.
    ANNALS OF THORACIC SURGERY, 2020, 110 (02): : 630 - 637
  • [7] Giant pseudoaneurysm of the right ventricular outflow tract after repair of truncus arteriosus: evaluation by MR imaging and surgical approach
    Murashita, T
    Hatta, E
    Imamura, M
    Yasuda, K
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2002, 22 (05) : 849 - 851
  • [8] Hand-Made Polytetrafluoroethylene Tricuspid-Valved Conduit for Surgical Reconstruction of the Right Ventricular Outflow Tract in a Child With Truncus Arteriosus
    Bhende, Vishal V.
    Sharma, Tanishq S.
    Majmudar, Hardil P.
    Subramaniam, Krishnan Ganapathy
    Mehta, Deepakkumar, V
    Kumar, Amit
    Patel, Purvi R.
    Panesar, Gurpreet
    Soni, Kunal
    Dhami, Kartik B.
    Patel, Nirja
    Pathan, Sohilkhan R.
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (07)
  • [9] Modified Repair of Type I and II Truncus Arteriosus Limits Early Right Ventricular Outflow Tract Reoperation
    Louis, Clauden
    Swartz, Michael F.
    Simon, Bartholomew V.
    Cholette, Jill M.
    Atallah-Yunes, Nader
    Wang, Hongyue
    Gensini, Francisco
    Alfieris, George M.
    SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY, 2018, 30 (02) : 199 - 204
  • [10] RECONSTRUCTION OF THE RIGHT VENTRICULAR OUTFLOW TRACT IN TRUNCUS ARTERIOSUS TYPE-I AND TYPE-II WITH A PULMONARY HOMOGRAFT
    MORSHUIS, WJ
    VANDEWAL, HJ
    TANKE, RJ
    LACQUET, LK
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1992, 104 (03): : 842 - 843