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Right ventricular outflow tract reintervention after primary tetralogy of Fallot repair in neonates and young infants
| Content Provider | Scilit |
|---|---|
| Author | Balasubramanya, Shyamasundar Zurakowski, David Borisuk, Michele Kaza, Aditya K. Emani, Sitaram M. Nido, Pedro J. del Baird, Christopher W. |
| Copyright Year | 2017 |
| Description | Journal: Journal of Thoracic and Cardiovascular Surgery To assess the outcomes following primary tetralogy of Fallot (TOF) repair in neonates and young infants with pulmonary stenosis (PS) and pulmonary atresia and compare differences in reintervention on the right ventricular outflow tract (RVOT) among those undergoing valve sparing repair (VSR), transannular RVOT patch (TAP), and right ventricle–to–pulmonary artery (RV-PA) conduit surgeries. Data were collected retrospectively in 101 patients who underwent TOF repair over a 10-year period between January 2005 and September 2015. The primary endpoint was reintervention on the RVOT, defined as a surgical procedure or cardiac catheterization–based RVOT reintervention. Forty-three patients had TOF/PS, of whom 24 (56%) underwent TAP and 19 (44%) underwent VSR. Fifty-eight patients had TOF/PA, 14 (24%) underwent TAP and 44 (76%) underwent RV-PA conduit repair. Overall patient mortality was 2.9% (3 of 101). Thirty-three patients underwent surgical reintervention, and 52 underwent catheterization-based reintervention. Patients with TOF/PA who underwent RV-PA conduit repair had a higher surgical reintervention rate than those who underwent TAP (45% vs 21%). Patients with TOF/PSs undergoing VSR with a lower median birth weight (2.5 kg vs 3.7 kg) required more surgical reintervention. Neonatal TOF repair can be performed with low mortality but frequent RVOT reinterventions. Surgical reintervention is earlier and the rate is higher among patients with TOF/PA undergoing RV-PA conduit repair compared with those undergoing TAP. Although there were no overall differences in RVOT reintervention rate between patients with TOF/PS undergoing VSR and those undergoing TAP, a lower birth weight in the patients undergoing VSR is associated with a higher surgical reintervention rate. |
| Related Links | http://www.jtcvs.org/article/S0022522317319360/pdf |
| Ending Page | 734 |
| Page Count | 9 |
| Starting Page | 726 |
| ISSN | 00225223 |
| e-ISSN | 1097685X |
| DOI | 10.1016/j.jtcvs.2017.09.019 |
| Journal | Journal of Thoracic and Cardiovascular Surgery |
| Issue Number | 2 |
| Volume Number | 155 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2017-09-19 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Thoracic and Cardiovascular Surgery Pulmonary Atresia Pulmonary Stenosis Right Ventricle–to–pulmonary Artery Conduit Tetralogy of Fallot Transannular Patch Valve-sparing Repair |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine |
