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Date Published: 04/08/2021
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Views PDF: 111
DOI: https://doi.org/10.51298/vmj.v503i2.808
Issue
Vol. 503 No. 2 (2021)
Section
Các bài báo
How to Cite
Quang Vịnh, T. ., Quốc Hưng, Đoàn ., & Lý Thịnh Trường, N. . (2021). EARLY OUTCOMES OF VALVED CONDUIT FOR RIGHT VENTRICULAR OUTFLOW TRACT RECONSTRUCTION IN CONGENITAL HEART DEFECTS PATIENTSAT NATIONAL CHILDREN’S HOSPITAL. Vietnam Medical Journal, 503(2). https://doi.org/10.51298/vmj.v503i2.808

EARLY OUTCOMES OF VALVED CONDUIT FOR RIGHT VENTRICULAR OUTFLOW TRACT RECONSTRUCTION IN CONGENITAL HEART DEFECTS PATIENTSAT NATIONAL CHILDREN’S HOSPITAL

Trần Quang Vịnh, Đoàn Quốc Hưng, Nguyễn Lý Thịnh Trường

Main Article Content

Abstract

Objectives: To Report the early outcomes of valved conduit for right ventricular outflow tract reconstruction in congeniatl heart defects at National Children’s Hospital in 2020. Methods: In 2020, 1200 cases of open-heart surgery were conducted at our hospital, in which 70 patients (5.8%) are using the valved conduit for reconstruct the right ventricular outflow tract. We conducted a cross-sectional study, describing the early postoperative resultsin this group of patients. Results: There were 44 male (62.9%) and 26 female (37.1%), in which Truncus (15.7%), Pulmonary atresia or stenosis (60%) Ross’s procedure (5.7%),Pulmonary valve replacement (18.6%). The conduits areContegra (91.4%), Hancock (5.7%), Homograft DMP (2.9%) with an average size of 16 (9-25) mm. At the time of surgery, the mean age was 24.4 ± 33.7 [1 - 171] months and the meanweight was 9.2 ± 6.4 [2.6 - 41.0]kg. The mean bypass time and cross-clamped time were 155 ± 51 [72 - 381] minutes and 81 ± 47 [21 - 209] minutes, respectively. Early death has 5 patients (7.1%): 4 patients died during hospital stay, 1 patient died 1 month after dischargedue to pneumonia. The remaining patients are monitored for at least 3 months after surgery. The echocardiography at last check-up showed that the average rate of mild to moderate pulmonary insufficency (15.7%), No PI (84.3%). Mean pressure gradient across the conduitwas10 ± 8 [1 - 35] mmHg. Conclusions: Using a valved conduit to shape the right ventricular outflow tract in complicated congenital heart defect patients at National Children’s Hospital is feasible. Long term follow-up is absolutely in need.

Article Details

Keywords

Truncus Arteriosus, Pulmonary Atresia, Pulmonary Stenosis, Valved conduit

References

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