Titre
Homograft-Monocusp-Implantation zur Rekonstruktion des rechtsventrikularen Ausflusstraktes bei der Korrektur der Fallot-Tetralogie. [Single cusp homograft implantation in the reconstruction of right ventricular outflow tract in the correction of tetralogy of Fallot]
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Vogt, P. R.
Auteure/Auteur
Bauer, E. P.
Auteure/Auteur
von Segesser, L. K.
Auteure/Auteur
Turina, M. I.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
1992-06
Volume
122
Numéro
25
Première page
975
Dernière page/numéro d’article
8
Peer-reviewed
Oui
Notes
English Abstract
Journal Article --- Old month value: Jun 20
Journal Article --- Old month value: Jun 20
Résumé
From 1987 to 1990, 37 children underwent surgical correction for tetralogy of Fallot. The mean age was 38.2 months (2-156 months). The indication for right ventricular outflow tract (RVOT) obstruction in 19/37 (51%) children was: hypoplastic pulmonary valve (n = 10), annular hypoplasia (n = 12), RVOT obstruction and hypoplastic pulmonary artery (n = 10). In 18/37 (49%) children, the repair of the RVOT was done without homograft. The RVOT morphology was the only indication for reconstruction with homograft. All other pre-, intra- and postoperative data were identical for both groups. There was no operative or late death. After a mean follow-up of 4.4 months, all 19 children with homograft were in NYHA class I and echocardiographic evaluation showed mild and moderate pulmonary regurgitation in 8 and 4 children respectively. Out of the 18 children without homograft, 16 were in NYHA class I and 2 in NYHA class II. Two children had early postoperative right heart failure. The mean follow-up time in this group was 5.5 months. Echocardiography revealed residual pulmonary regurgitation in 4 children, pulmonary stenosis in 6 and combined residual pulmonary valve defect in 6. If severe malformation of the RVOT or the pulmonary artery is present, a valved homograft is recommended for repair of tetralogy of Fallot. Good morphological and functional results may be achieved.
Sujets
PID Serval
serval:BIB_1A661160AFD5
PMID
Date de création
2008-02-14T13:18:02.908Z
Date de création dans IRIS
2025-05-20T14:23:51Z