Mid- and long-term results of different techniques for subaortic stenosis
- VernacularTitle:不同术式治疗主动脉瓣下狭窄的中远期疗效
- Author:
Benqing ZHANG
1
;
Kai MA
1
;
Sen ZHANG
1
;
Jun YAN
1
;
Zhongdong HUA
1
;
Shoujun LI
1
Author Information
1. Department of Pediatric Cardiac Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, 100037, P. R. China
- Publication Type:Journal Article
- Keywords:
Congenital heart disease;
sub-valvular aortic stenosis;
valvular membrane resection;
muscles resection;
modified Konno procedure
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(02):233-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the mid- and long-term outcomes of different surgical techniques for subaortic stenosis. Methods The clinical data of 75 patients with subaortic stenosis who underwent surgery in our hospital from January 2008 to January 2018 were retrospectively analyzed, including 48 males and 27 females, with a median age of 72 (48, 132) months and mean weight of 21.35±15.82 kg. There were 40 (53.3%) patients combined with aortic regurgitation; 38 (50.7%) patients were the first time and 37 patients were the second time to receive the operation. According to the surgical techniques, 75 patients were divided into two groups: a group A (40 patients with simple subaortic membrane resection) and a group B (35 patients with subaortic membrane and muscle resection or modified Konno procedure). Results Two (2.67%) patients died in hospital. There was one late death in the group B. The average preoperative and postoperative pressure gradient of all patients was 69.96±42.02 mm Hg and 7.44±12.45 mm Hg, respectively. All patients were followed up for 51 (12, 120) months. Pressure gradient at follow-up in the group A and the group B was 8.83±14.52 mm Hg and 5.86±9.53 mm Hg, respectively with no statistical difference (P=0.294). Four patients in the group A and 2 patients in the group B needed reintervention. However, there was no statistical difference in the long-term reintervention rate between the two groups (P=0.480). Conclusion For the different degree of lesions in the left ventricular outflow tract, our management strategy is feasible. Although there is no statistical difference between two the groups in the long-term reintervention rate after simple valvular membrane resection, prolonged follow-up is necessary to examine the long-term outcomes of different surgical techniques.
