Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
MANAGEMENT EVOLUTION OF PULMONARY ATRESIA AND INTACT VENTRICULAR SEPTUM
Autore:
LEUNG MP; MOK C; LEE J; LO RNS; CHEUNG H; CHIU C;
Indirizzi:
UNIV HONG KONG,GRANTHAM HOSP,DEPT PAEDIAT,DIV PEDIAT CARDIOL,125 WONGCHUK HANG RD ABERDEEN HONG KONG UNIV HONG KONG,GRANTHAM HOSP,DEPT SURG ABERDEEN HONG KONG
Titolo Testata:
The American journal of cardiology
fascicolo: 15, volume: 71, anno: 1993,
pagine: 1331 - 1336
SICI:
0002-9149(1993)71:15<1331:MEOPAA>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
VALVOTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
17
Recensione:
Indirizzi per estratti:
Citazione:
M.P. Leung et al., "MANAGEMENT EVOLUTION OF PULMONARY ATRESIA AND INTACT VENTRICULAR SEPTUM", The American journal of cardiology, 71(15), 1993, pp. 1331-1336

Abstract

To examine the impact on survival and clinical course of incorporating the morphologic classification of the right ventricle into the evolving management strategy for babies with pulmonary atresia and intact ventricular septum, the surgical results and follow-up status of the first 62 consecutive patients managed in this hospital between 1979 and 1990 were reviewed. Before 1984, all 23 babies from group I underwent primary right ventricular outflow reconstruction irrespective of rightventricular morphology and size. Since 1984, depending on the morphology and size of the right ventricle, 39 babies from group II had either closed transventricular pulmonary valvotomy (n = 31) or a shunt operation (n = 8). There were 10 hospital (43%) and 2 late deaths (total mortality 52%) in our group I patients. Three of the 11 long-term survivors had cyanosis at rest but none had any residual pressure gradient across the pulmonary outflow. Group II had 6 hospital (15%) and 4 latedeaths (total mortality = 26%). Of the 29 long-term survivors, 9 had a second-stage right ventricular outflow reconstruction, 8 had balloonvalvuloplasty and 2 had successful Fontan operation. At the latest follow-up, 5 children from this group have cyanosis at rest, 1 has a residual gradient (55 mm Hg) across the infundibulum, and 3 have right ventricular dysfunction. The hospital and total mortality for babies in group II was significantly lower than that in group I (p < 0.01). These data suggest that tailoring the treatment to the right ventricular anatomy results in a lower overall mortality although long term postoperative hemodynamic abnormalities are observed in both groups.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 05:08:40