Homologous monocuspid valve patch in one stage repair of pulmonary atresia
- VernacularTitle:同种带单瓣大动脉血管片在肺动脉闭锁一期根治术中的应用
- Author:
Yinglong LIU
;
Jun YAN
;
Xiangdong SHEN
- Publication Type:Journal Article
- Keywords:
Pulmonary atresia Arteries Transplantation,homologous Cardiac surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2003;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the experience of one stage surgical repair of pulmonary atresia with homologous monocuspid valve patch. Methods From October 1996 to May 2002,twenty-eight patients,4 months to 20 years of age (mean 35.3 months),received surgical repair wih homologous monocuspid valve patch in right ventricular outflow tract reconstruction. 17 patients had ventricular septal defect,others had intact ventricular septum. ResultsTwo patients died of low cardiac output syndrome with a hospital mortality of 7.14%. The leading complications were atelectasis,infection,anoxic encephalopathy,capillary leakage syndrome,residual shunt. Conclusion The repair with homologous monocuspid valve patch for right ventricular outflow tract reconstruction in pulmonary atresia provided good early results and minimizes pulmonary insufficiency. Surgical technique emphasized.