Surgical outcomes of severe aortic stenosis in infants
- VernacularTitle:低龄婴儿重度主动脉瓣狭窄手术治疗结果分析
- Author:
Dingxu GONG
1
;
Benqing ZHANG
1
;
Ye LIN
1
;
Lin ZHANG
1
;
Kai MA
1
;
Rui LIU
1
;
Hanmei LI
1
;
Lu RUI
1
;
Shoujun LI
1
Author Information
1. Department of Cardiac Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, P.R.China
- Publication Type:Journal Article
- Keywords:
Infants;
aortic stenosis;
aortic valvulotomy;
follow-up
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(01):60-63
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the results of surgical treatment of severe aortic stenosis in infants. Methods From August 2012 to December 2019, 28 infants undergoing aortic valvuloplasty in our hospital were selected, including 22 males and 6 females, aged 62.00 (47.00, 82.50) d. The baseline characteristics of the patients, postoperative complications and follow-up results were analyzed. Results Twenty (71.43%) patients had bicuspid aortic valves. Five (17.86%) patients had heart failure and two (7.14%) patients used prostaglandin before surgeries. Postoperative mechanical ventilation time was 25.00 (17.00, 62.75) h, ICU stay was 3.50 (2.00, 8.50) d and postoperative hospital stay was 10.00 (7.00, 16.50) d. Four (14.29%) patients got delayed recovery (ICU stay>14 d). One (3.57%) perioperative death was observed. The follow-up time was 55.00 (43.25, 82.25) months. No death was found during follow-up. Four (14.81%) patients underwent a second operation, including three (11.11%) patients with severe aortic stenosis, and one (3.70%) patient with severe regurgitation. Conclusion Infants with severe aortic stenosis are seriously ill and have a long postoperative recovery time, requiring early surgery. The postoperative follow-up results are satisfactory.
