Ventricular septal defect recanalization in patients after total correction of Fallot tetralogy
Keywords:
tetralogy of Fallot, total correction, recanalization VSD, reoperation
Abstract
Total correction of Fallot tetrology was performed in 1894 patients during the period 1980–2004 years. 680 (35,9%) patients were studied in remote period, 61(9,0%) of them had VSD recanalization. 16 (26,2%) patients of the latter group were submitted to reoperation-closure of recanalized VSD in terms of 1 month to 30 years after total correction of FT (8,5±3,3 г.). Pressure ratio in the right ventricle to systemic pressure after recanalized VSD closure decreased from 0,59±0,2 to 0,35±0,08. There were no lethal events. Good and satisfactory of patients (93.8%), their functional state corresponds to I-II FC NYNA classification. Positive dynamics of the volume and functional indices of the right and left heart ventricles were noted in all patients.
References
1. Данилов Т. Ю. Повторные операции в отдаленные сроки после радикальной коррекции тетрады Фалло / Т. Ю. Данилов // Дисс… док. мед. наук. – М., 2011.
2. Зиньковский М. Ф. Врожденные пороки сердца: монография / М. Ф. Зиньковский. – К., 2010. – 1200 с.
3. Подзолков В. П., Кокшенев И. В., Пурсанов М. Г. и др. Результаты повторных операций в отдаленные сроки после радикальной коррекции тетрады Фалло и реконструкции путей оттока правого желудочка / В. П. Подзолков, И. В. Кокшенев, М. Г. Пурсанов // Грудная и сердечно-сосудистая хирургия. – 2007. – № 4. – С. 11–17.
4. Подзолков В. П., Кокшенов И. В. Тетрада Фалло: монография / В. П. Подзолков, И. В. Кокшенов. – М., 2008. – 494 с.
5. Caspi J., Zalstein E., Zucker N. et al. Surgical management of tetralogy of Fallot in the first year of life / J. Caspi, E. Zalstein, N. Zucker [et al] // Ann. Thorac. Surg. – 1999. – Vol. 68. – P. 1344–1348.
6. Dobell A. R., Henry J. N., Murphy D. A. Surgical experiense with recurrent ventricular septal defect // Ann. Thorac. Surg. – 1972. – Vol. 14. – Р. 405–410.
7. Faidutti В., Christenson J. T., Beghetti M. et al. How to diminish reoperation rates after initial repair of tetralogy of Fallot? / В. Faidutti, J. T. Christenson, M. Beghetti [et al.] // Ann. Thorac. Surg. – 2002. – Vol. 73(1). – P. 96–101.
8. Hazekamp M. G., Kurvers M. M., Schoof P. H., et al. Pulmonary valve insertion late after repair of tetralogy of Fallot / M. G. Hazekamp, M. M. Kurvers, P. H. Schoof [et al.] // Eur. J. Cardio Thorac. Surg. – 2001. – № 19. – Р. 667–670.
9. Kobayashi J., Kawashima Y., Matsuda H., et al. Prevalence and risk factors of tricuspid regurgitation after correction of tetralogy of Fallot / J. Kobayashi, Y. Kawashima, H. Matsuda [et al.] // J Thorac. Cardiovasc. Surg. – 1991. – № 102. – Р. 611–616.
10. Monro J. L., Alexiou C., Salmon A. P., Keeton B. R. Reoperations and survival after primary repair of congenital heart defects in children / J. L. Monro, C. Alexiou, A. P. Salmon, B. R. Keeton // J. Thorac. Cardiovasc. Surg. – 2003. – № 126 (2). – Р. 511–520.
11. Richardson J. P, Schieken R. M, Laurel R. M, Steward P., Doty D. B. Repair of large ventricular septal defects in infants and small children // Ann. Surg. – 1982. – Vol. 195, N 3. – Р. 318–322.
12. Presbitero Р., Demarie D., Aruta E., et al. Results of total correction of tetralogy of Fallot performed in adults / Р. Presbitero, D. Demarie, E. Aruta [et al.] // Ann. Thorac. Surg. – 1988. – № 46. – Р. 297–301.
13. Knowles R., Veldtman G., Hickey E. et al. Functional health status of adults with tetralogy of Fallot: matched comparison with healthy siblings // Ann. Thorac. Surg. – 2012. – Vol. 94. – P. 124–132.
14. Stark J. and Pacifico A. Reoperations in cardiac surgery. – Spring-Verlag. – 1998.
15. Yeager S. B., Freed M. D., Keane J. F. et al. Primary surgical closure of ventricular septal defect in the first year of life: results in 128 infants // J. Am. Coll. Cardiol. – 1984. – Vol. 3 (5).– P. 1269–1276.
2. Зиньковский М. Ф. Врожденные пороки сердца: монография / М. Ф. Зиньковский. – К., 2010. – 1200 с.
3. Подзолков В. П., Кокшенев И. В., Пурсанов М. Г. и др. Результаты повторных операций в отдаленные сроки после радикальной коррекции тетрады Фалло и реконструкции путей оттока правого желудочка / В. П. Подзолков, И. В. Кокшенев, М. Г. Пурсанов // Грудная и сердечно-сосудистая хирургия. – 2007. – № 4. – С. 11–17.
4. Подзолков В. П., Кокшенов И. В. Тетрада Фалло: монография / В. П. Подзолков, И. В. Кокшенов. – М., 2008. – 494 с.
5. Caspi J., Zalstein E., Zucker N. et al. Surgical management of tetralogy of Fallot in the first year of life / J. Caspi, E. Zalstein, N. Zucker [et al] // Ann. Thorac. Surg. – 1999. – Vol. 68. – P. 1344–1348.
6. Dobell A. R., Henry J. N., Murphy D. A. Surgical experiense with recurrent ventricular septal defect // Ann. Thorac. Surg. – 1972. – Vol. 14. – Р. 405–410.
7. Faidutti В., Christenson J. T., Beghetti M. et al. How to diminish reoperation rates after initial repair of tetralogy of Fallot? / В. Faidutti, J. T. Christenson, M. Beghetti [et al.] // Ann. Thorac. Surg. – 2002. – Vol. 73(1). – P. 96–101.
8. Hazekamp M. G., Kurvers M. M., Schoof P. H., et al. Pulmonary valve insertion late after repair of tetralogy of Fallot / M. G. Hazekamp, M. M. Kurvers, P. H. Schoof [et al.] // Eur. J. Cardio Thorac. Surg. – 2001. – № 19. – Р. 667–670.
9. Kobayashi J., Kawashima Y., Matsuda H., et al. Prevalence and risk factors of tricuspid regurgitation after correction of tetralogy of Fallot / J. Kobayashi, Y. Kawashima, H. Matsuda [et al.] // J Thorac. Cardiovasc. Surg. – 1991. – № 102. – Р. 611–616.
10. Monro J. L., Alexiou C., Salmon A. P., Keeton B. R. Reoperations and survival after primary repair of congenital heart defects in children / J. L. Monro, C. Alexiou, A. P. Salmon, B. R. Keeton // J. Thorac. Cardiovasc. Surg. – 2003. – № 126 (2). – Р. 511–520.
11. Richardson J. P, Schieken R. M, Laurel R. M, Steward P., Doty D. B. Repair of large ventricular septal defects in infants and small children // Ann. Surg. – 1982. – Vol. 195, N 3. – Р. 318–322.
12. Presbitero Р., Demarie D., Aruta E., et al. Results of total correction of tetralogy of Fallot performed in adults / Р. Presbitero, D. Demarie, E. Aruta [et al.] // Ann. Thorac. Surg. – 1988. – № 46. – Р. 297–301.
13. Knowles R., Veldtman G., Hickey E. et al. Functional health status of adults with tetralogy of Fallot: matched comparison with healthy siblings // Ann. Thorac. Surg. – 2012. – Vol. 94. – P. 124–132.
14. Stark J. and Pacifico A. Reoperations in cardiac surgery. – Spring-Verlag. – 1998.
15. Yeager S. B., Freed M. D., Keane J. F. et al. Primary surgical closure of ventricular septal defect in the first year of life: results in 128 infants // J. Am. Coll. Cardiol. – 1984. – Vol. 3 (5).– P. 1269–1276.
Published
2016-05-16
How to Cite
Zinkovskyi, M. F., Goryachev, A. G., Dykuha, S. O., Naumova, L. R., Atamanyuk, M. Y., Hondoga, V. M., Pischurin, O. A., Babadzanov, K. B., & Ivanov, Y. R. (2016). Ventricular septal defect recanalization in patients after total correction of Fallot tetralogy. Ukrainian Journal of Cardiovascular Surgery, (1 (24), 74-78. Retrieved from http://cvs.org.ua/index.php/ujcvs/article/view/273
Section
CONGENITAL HEART DEFECTS
