NDLI: A jobbkamra-kifolyási pálya rekonstrukciója elozoleg korrigált veleszületett szívhibák esetén fiatal- és felnottkorban.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hartyánszky, István Székely, László Szudi, László Mihályi, Sándor Kádár, Krisztina Temesvári, András Bálint, Hajnalka Szatmári, András Tóth, Attila
Description	Author Affiliation: Hartyánszky I ( Gottsegen György Országos Kardiológiai Intézet Budapest. 1096. hartyanszky@hotmail.com)
Abstract	UNLABELLED: Due to successful surgical treatment of congenital heart defects in infants and children, the number of patients who reach the adolescent/adult age is continuously increasing. AIMS: The authors sought to identify the short- and medium-term outcomes of reconstruction of right ventricular outflow tract in adolescents and adults who underwent surgical intervention for congenital heart defect in infancy or early childhood. METHODS: Between 2001 and 2012, 48 patients (age: 15-39, mean 21 years) (30 tetralogy of Fallot, 11 pulmonary atresia + ventricular septal defect, 6 transposition of great arteries + ventricular septal defect + left ventricular outflow tract obstruction, and 1 truncus arteriosus) had repeat operation because of right ventricular dysfunction. All patients previously underwent right ventricular outflow tract procedures in early childhood. RESULTS: In 31 patients, the small homograft, and in 9 patients the transannular-paths were replaced for 'adult-size' homograft. Bioprosthetic pulmonary valve replacement was performed in pulmonary (6 patients) and homograft annuli (2 patients). In 14 patients, resection of the right ventricular outflow tract aneurism was also necessary to be performed. There was no early and mid-time (10 years) mortality. In 97.5% of patients with homograft-re-implantation, there was no need for repeat intervention for 5 years. CONCLUSIONS: The right ventricular outflow tract restoration in adolescents and adults is an effective procedure. The reconstruction should be performed in early adolescent period to prevent right ventricular dysfunction. The authors prefer using bioprosthetic pulmonary valve replacement in patients with adult-size pulmonary or homograft annulus.
File Format	HTM / HTML
ISSN	00306002
e-ISSN	17886120
Journal	Orvosi Hetilap
Issue Number	31
Volume Number	153
Language	Hungarian
Publisher	Markusovszky Lajos
Publisher Date	2012-08-05
Publisher Place	Hungary
Access Restriction	Open
Subject Keyword	Heart Valve Prosthesis Implantation Aneurysm Pulmonary Valve Bioprosthesis Transposition Of Great Vessels Angiocardiography Cardiac Surgical Procedures Tetralogy Of Fallot Heart Defects, Congenital Etiology Surgery Ventricular Outflow Obstruction Discipline Medicine Reoperation Adverse Effects Complications Magnetic Resonance Imaging Truncus Arteriosus Pulmonary Atresia Adolescent Heart Septal Defects, Ventricular
Alternative Title	Right ventricular outflow tract reconstruction in adolescents and adults after previous repair of congenital heart defects
Content Type	Text
Resource Type	Article
Subject	Medicine

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Tapasztalataink a fiatal- és felnottkori veleszületett szívhibák sebészi kezelésében 2001-2008.

Veleszületett szívhibák sebészi kezelése 60 éves kor felett.

Outcomes following non-valved autologous reconstruction of the right ventricular outflow tract in neonates and infants.

Consensus on timing of intervention for common congenital heart diseases: part II - cyanotic heart defects.

Cardiac surgery in early infancy.

Thirty-Year Incidence of Infective Endocarditis After Surgery for Congenital Heart Defect

Szöveti Doppler-echokardiográfia a jobbkamra-funkció megítélésére veleszületett szívhibákban. Echo-szív mágneses rezonanciás összehasonlító vizsgálatok.

Angiographic study of pulmonary circulation in tetralogy of Fallot with pulmonary atresia

Half rotation of the truncus arteriosus plus arterial switch for transposition of the great arteries with ventricular septal defect and pulmonary outflow tract obstruction.

A jobbkamra-kifolyási pálya rekonstrukciója elozoleg korrigált veleszületett szívhibák esetén fiatal- és felnottkorban.

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Tapasztalataink a fiatal- és felnottkori veleszületett szívhibák sebészi kezelésében 2001-2008.

Veleszületett szívhibák sebészi kezelése 60 éves kor felett.

Outcomes following non-valved autologous reconstruction of the right ventricular outflow tract in neonates and infants.

Consensus on timing of intervention for common congenital heart diseases: part II - cyanotic heart defects.

Cardiac surgery in early infancy.

Thirty-Year Incidence of Infective Endocarditis After Surgery for Congenital Heart Defect

Szöveti Doppler-echokardiográfia a jobbkamra-funkció megítélésére veleszületett szívhibákban. Echo-szív mágneses rezonanciás összehasonlító vizsgálatok.

Angiographic study of pulmonary circulation in tetralogy of Fallot with pulmonary atresia

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A jobbkamra-kifolyási pálya rekonstrukciója elozoleg korrigált veleszületett szívhibák esetén fiatal- és felnottkorban.