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
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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.
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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
1.
Zinkovskyi MF, Goryachev AG, Dykuha SO, Naumova LR, Atamanyuk MY, Hondoga VM, Pischurin OA, Babadzanov KB, Ivanov YR. Ventricular septal defect recanalization in patients after total correction of Fallot tetralogy. ujcvs [Internet]. 2016May16 [cited 2025Jan.3];(1 (24):74-8. Available from: http://cvs.org.ua/index.php/ujcvs/article/view/273
Section
CONGENITAL HEART DEFECTS
