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Date Published: 31/07/2022
Abstract Views: 213
Views PDF: 106
DOI: https://doi.org/10.51298/vmj.v516i2.3050
Issue
Vol. 516 No. 2 (2022)
Section
Các bài báo
How to Cite
Lý Thịnh Trường, N., & Tuấn Mai, N. . (2022). SURGICAL RESULTS OF ARTERIAL SWITCH OPERATION FOR PATIENTS WITH TRANSPOSITION OF THE GREAT ARTERIES-INTACT VENTRICULAR SEPTUM AT VIETNAM NATIONAL CHILDREN’S HOSPITAL FROM YEARS OF 2010-2016. Vietnam Medical Journal, 516(2). https://doi.org/10.51298/vmj.v516i2.3050

SURGICAL RESULTS OF ARTERIAL SWITCH OPERATION FOR PATIENTS WITH TRANSPOSITION OF THE GREAT ARTERIES-INTACT VENTRICULAR SEPTUM AT VIETNAM NATIONAL CHILDREN’S HOSPITAL FROM YEARS OF 2010-2016

Nguyễn Lý Thịnh Trường1,, Nguyễn Tuấn Mai1
1 Children Heart Center, Vietnam National Children's Hospital

Main Article Content

Abstract

Objective: The mid-term outcomes of arterial switch operation (ASO) for children who have transposition of the great arteries-intact ventricular septum (TGA-IVS) and risk factors associated with mortalities after surgery were evaluated. Methods: From April 2010 to December 2016, all patients diagnosed with TGA-IVS, who underwent ASO at Heart Center-Vietnam National Children Hospital wereretrospectively studied. Multivariate logistic regression analysis was performed to identify the risk factors for hospital mortality. Results: A total of 149 patients were collected to this study. The operation mean age and mean weight was 30,32±23,04days (3-163), and 3,46 ±0,6 kg (2.1-6.0), respectively. There were 2 patients required left ventricular training before ASO with unprepared left ventricle. The mean aortic cross-clamp time and mean bypass time were 113,47±28,61 min, and 172,52± 52,74min, respectively. There were 3 patients need ECMO support after surgery. 8 patients (5.4%) died in hospital and 3 late death (2%). No reoperation appears during the meantime follow-up of 22.88 ±17.48months (0.5-84). Multivariate logistic regression analysis revealed that pneumonia (OR=22.1) and sepsis (OR=51.9) were the risk factors of hospital mortality for patients with TGA-IVS after ASO. There was no significant difference in mortality between group of neonates and group of late presentation more than 30 days old (p=0.484). Conclusions: Results of ASO for patients diagnosed with TGA-IVS at Heart Center-Vietnam National Children Hospital are safe. Primary ASO is a good option to be considered and can be safely performed with individual patientswho presented with late presentation.

Article Details

Keywords

arterial switch operation, transposition of the great arteries, intact ventricular septum

References

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