Downloads
Abstract
Objective: The objective was to determine outcomes of aortic arch reconstruction in one-stage repair of interrupted aortic arch in Nation Hospital of Pediatrics from 2012 to 2019.
Methods: Records of 53 consecutive patients undergoing interrupted aortic arch repair between January 2012 to December 2019 were reviewed. Single-stage repair was performed in all of the patients.
Results: The patients consisted of 32 males and 21 females. Mean age of the patients was 43 ± 53 days and mean weight was 3.4 ± 0.7 kg. The average cardiopulmonary bypass time was 128 ± 28 minutes, the aortic cross-clamp time was 92 ± 18 minutes and the selective cerebral perfusion time was 34 ± 11 minutes. Early mortality was 16.9%. Mean follow-up was 37 ± 21 [8-95] months. Actuarial survival including early death was 83% at 8 years. The freedom from reintervention of recurrent aortic arch obstruction was 97.6% at 8 years. No late death occurred.
Conclusions: Single-stage repair of interrupted aortic arch with intracardiac defects is safe and feasible with newborn and infant in National Hospital of Pediatrics.
Keyword: Interrupted aortic arch, ventricular septal defect, left ventricular outflow tract obstruction, aortopulmonary window.
References
Backer C.L. and Mavroudis C. (2000). Congenital Heart Surgery Nomenclature and Database Project: patent ductus arteriosus, coarctation of the aorta, interrupted aortic arch. Ann Thorac Surg, 69(4 Suppl), S298-307.
Van Praagh R., Bernhard W.F., Rosenthal A., et al. (1971). Interrupted aortic arch: surgical treatment. Am J Cardiol, 27(2), 200-211.
Schreiber C., Eicken A., Vogt M., et al. (2000). Repair of interrupted aortic arch: results after more than 20 years. Ann Thorac Surg, 70(6), 1896-1899; discussion 1899-1900.
Alsoufi B., Schlosser B., McCracken C., et al. (2016). Selective management strategy of interrupted aortic arch mitigates left ventricular outflow tract obstruction risk. J Thorac Cardiovasc Surg, 151(2), 412-420.
Sell J.E., Jonas R.A., Mayer J.E., et al. (1988). The results of a surgical program for interrupted aortic arch. J Thorac Cardiovasc Surg, 96(6), 864-877.
Serraf A., Lacour-Gayet F., Robotin M., et al. (1996). Repair of interrupted aortic arch: a ten-
year experience. J Thorac Cardiovasc Surg, 112(5), 1150-1160.
Morales D.L.S., Scully P.T., Braud B.E., et al. (2006). Interrupted aortic arch repair: aortic arch advancement without a patch minimizes arch reinterventions. Ann Thorac Surg, 82(5), 1577- 1583; discussion 1583-1584.
Suzuki T., Ohye R.G., Devaney E.J., et al. (2006). Selective management of the left ventricular outflow tract for repair of interrupted aortic arch with ventricular septal defect: management of left ventricular outflow tract obstruction. J Thorac Cardiovasc Surg, 131(4), 779-784.
Fulton J.O., Mas C., Brizard C.P., et al. (1999). Does left ventricular outflow tract obstruction influence outcome of interrupted aortic arch repair?. Ann Thorac Surg, 67(1), 177-181.
Hussein A., Iyengar A.J., Jones B., et al. (2010). Twenty-three years of single-stage end-to-side anastomosis repair of interrupted aortic arches. J Thorac Cardiovasc Surg, 139(4), 942-947, 949; discussion 948.
| Published | 18-02-2025 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 71 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.71.8 | |
| Keywords | Gián đoạn quai động mạch chủ, thông liên thất, hẹp đường ra thất trái, cửa sổ chủ phế Interrupted aortic arch, ventricular septal defect, left ventricular outflow tract obstruction, aortopulmonary window |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2021 Journal of Clinical Medicine Hue Central Hospital