Non-Conduit Repair of Truncus Arteriosus.
Braz J Cardiovasc Surg
; 38(2): 248-251, 2023 04 23.
Article
en En
| MEDLINE
| ID: mdl-36259996
ABSTRACT
INTRODUCTION:
The procedure of choice for treatment of truncus arteriosus is one-stage repair within the first few months of life. Establishing right ventricle-pulmonary artery direct continuity without conduit can be a good alternative in the absence of valved conduits in developing centers.METHODS:
Between January 2021 and June 2021, a total of five patients (three males, two females) underwent definitive repair of truncus arteriosus without an extracardiac conduit. We used the Barbero-Marcial technique to allow age-related growth, eliminate the risk of conduit-related complications, and to avoid forcing a conduit to place in a very small mediastinal space.RESULTS:
The patients' mean age was 31.2 days (11-54 days). Their mean bodyweight was 3.2 kg (2.7-3.8kg). Mean postoperative intensive care unit stay was 39.6 days (7-99 days). There were two mortalities in the intensive care unit on postoperative days 12 and 61 due to lung-related problems. The remaining three cases' mean ventilation time was 15.6 days (8-22 days).CONCLUSION:
Having access to a valved conduit is still challenging for some centers, and the non-conduit repair technique defined by Barbero-Marcial can be a successful, life-saving alternative easy for young surgeons to perform in newly based centers.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Tronco Arterial Persistente
/
Cardiopatías Congénitas
Límite:
Female
/
Humans
/
Infant
/
Male
Idioma:
En
Revista:
Braz J Cardiovasc Surg
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Turquía