ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT SỬA CHỮA TOÀN BỘ TỨ CHỨNG FALLOT Ở TRẺ EM DƯỚI 12 THÁNG TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH

Abstract

Objecctives: To evaluate short-term outcomes after completed surgery for infantile tetralogy of Fallot. Methods: Prospective descriptive study.  Results: Evaluation results on 19 male patients and 13 female patients, study subjects under 12 months of age. Assessment of peripheral blood oxygen saturation (SpO2) averaged 79.72 ± 12.28%, the lowest was 46% and the highest was 98%. Of which, 13 cases (40.6%) had SpO2 <80%. Post-operative results, there were 4 mild regurgitation cases of pulmonary valve, 9 moderate regurgitation cases and 10 severe regurgitation cases. Post-operative complications included pneumonia (6 cases), respiratory failure due to tracheal stenosis/slideplasty (1 case) and 2 cases of wound infection. There were 1 case died in the hospital because of heart failure and pneumonia. Conclusions: Performing a right atrial and pulmonary approach with the strategy of preserving the pulmonary valve and extending the minimal annulus is easily and conveniently performed in all patients with tetralogy of Fallot. The surgical results were good, the rate of preservation of the pulmonary valve annulus was quite high, the rate of complications in the recovery period and short-term follow-up after surgery was low and there was 1 case of postoperative death.