Surgical repair of type Ⅲpulmonary atresia with ventricular septal defect
10.3760/cma.j.issn.1001-4497.2017.01.001
- VernacularTitle:Ⅲ型肺动脉闭锁／室间隔缺损的外科疗效
- Author:
Hongyu ZHANG
;
Jian ZHUANG
;
Jimei CHEN
;
Jianzheng CEN
;
Gang XU
;
Shusheng WEN
- Keywords:
Pulmonary atresia;
Pulmonary artery development;
Surgical options
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(1):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the outcomes of surgical repair of typeⅢ pulmonary atresia with ventricular septal de-fect( PA/VSD) .Methods Retrospectively analyzed the clinical data of 98 patients with type Ⅲ PA/VSD who underwent sur-gical repair in the Department of Cardiovascular Surgery , Guangdong Cardiovascular Institute from September 2005 to December 2014.There were 54 males and 44 females at the mean age of(4.2 ±4.8) years and the mean weight of(13.2 ±10.0) kg. There were 67 patients in palliative repair group and 31 patients in radical repair group .There were 85 patients underwent on-pump operation including 9 beating heart cases.Results The mean bypass time was(121.2 ±49.4)min, the mean aorta cross-clamping time was(75.4 ±31.8) min.The overall postoperative mortality was 6.1%(6/98).For the survival patients, the mean ventilation time was(106.7 ±184.3) h, the mean ICU stay was(8.9 ±10.9) days and the mean hospital stay was (33.4 ±17.0)days.During follow-up period, 28 patients were underwent re-operation, the postoperative mortality was 7.1%(2/28).There were no differences in postoperative status between two groups.Conclusion The outcomes of surgical repair for type Ⅲ PA/VSD was good.Preoperative evaluation of the pulmonary development and MAPCAs were helpful for choosing surgical options.Re-operation was recommended to those appropriate patients.
