Early- and mid-term outcomes of surgical repair of persistent truncus arteriosus in children
10.7507/1007-4848.201807032
- VernacularTitle:永存动脉干的外科治疗及早中期随访
- Author:
ZOU Minghui
1
;
MA Li
1
;
XIA Yuansheng
1
;
YANG Shengchun
1
;
CHEN Weidan
1
;
LI Wenlei
1
;
CHEN Xinxin
1
Author Information
1. Department of Cardiac Surgery, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, 510623, P.R.China
- Publication Type:Journal Article
- Keywords:
Persistent truncus arteriosus;
right ventricular outflow tract reconstruction;
right ventricular outflow tract reconstruction;
early- and mid-term results
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(4):321-325
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the early- and mid-term outcomes of surgical repair of persistent truncus arteriosus in children in a single institution of China. Methods The clinical data of 27 consecutive patients with persistent truncus arteriosus undergoing surgical repair in Guangzhou Women and Children’s Medical Center from November 2009 to May 2018 were retrospectively reviewed. There were 14 males and 13 females. Median age was 3.0 months (range: 13 days -11 years), of whom 10 (37.0%) were older than 6 months. Results There were three early deaths with a mortality of 11.1%. The main complications included VSD partial repair in 2 patients, complete atrioventricular block in one patient. The mean follow-up time was 24.5±19.3 months (range: 1–76 months). There were three late deaths, and two patients lost follow. Echocardiology showed seven patients of right heart outflow tract obstruction, including three in pulmonary artery trunk, and four of pulmonary artery branches. One patient showed moderate aortic valve regurgitation. None required re-intervention during the follow-up. Survival estimates for the entire cohort following surgery were both 76.1% (95%CI 59.2% to 92.9%) at 1 year and 5 years. Conclusion The surgical repair of persistent truncus arteriosus (PTA) remains challenges. The early- and mid-term outcomes of surgical repair of persistent truncus arteriosus are acceptable. For older children with severe pulmonary artery hypertension and/or trunk valve regurgitation, the risk of death is still higher. Some children have the higher risk of late right heart obstructive lesions.
