ABSTRACT
This article presents the 14-year experience of surgical treatment of pulmonary atresia with ventricular septal defect and pulmonary collateral blood bed. The surgery of defect was performed on 32 patients and they were followed up. The individual and differential approaches should be used in the choice of surgical strategy. This approach is based on the state of pulmonary arterial and collateral beds. An integral criterion of assessment was the common neo-pulmonary arterial index with boundary measure equal 150 mm2/m2. An application of given method allowed the performance of successful radical repair of defect in 15 patients, 4 patients having been operated in one stage. The rest of the patients had the appropriate staged interventions. The lethality consisted of 9.4%.
Subject(s)
Cardiovascular Surgical Procedures/methods , Collateral Circulation , Heart Septal Defects , Pulmonary Artery/surgery , Pulmonary Atresia , Female , Follow-Up Studies , Heart Septal Defects/diagnosis , Heart Septal Defects/mortality , Heart Septal Defects/physiopathology , Heart Septal Defects/surgery , Humans , Infant , Intraoperative Care/methods , Male , Pulmonary Artery/abnormalities , Pulmonary Artery/physiopathology , Pulmonary Atresia/diagnosis , Pulmonary Atresia/mortality , Pulmonary Atresia/physiopathology , Pulmonary Atresia/surgery , Russia , Severity of Illness Index , Survival Analysis , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
The authors present results of bidirectional cavapulmonary shunt operation without cardiopulmonary bypass for the treatment of complicated congenital heart defects. Temporary blood shunting during surgical intervention enables cavapulmonary anastomosis to be created without making resort to artificial circulation (AC) and limitation on the time of superior vena cava occlusion. The proposed method is free from additional risks and excludes negative effects of AC. It allows for conversion to AC as appropriate at any time during surgery in the "bypass stand-by" regime.
Subject(s)
Heart Bypass, Right/methods , Heart Defects, Congenital/surgery , Angiography , Cardiopulmonary Bypass , Echocardiography , Follow-Up Studies , Heart Defects, Congenital/diagnosis , Humans , Infant , Infant, Newborn , Retrospective Studies , Treatment OutcomeSubject(s)
Cardiac Surgical Procedures/methods , Surgical Flaps/methods , Animals , Dogs , Electric Stimulation Therapy/instrumentation , Electric Stimulation Therapy/methods , Electrocardiography , Female , Male , Muscle Contraction/physiology , Myocardial Contraction/physiology , Time Factors , Transplantation, AutologousABSTRACT
Vitium cordis found in a dog comprised a defect of the interatrial septum, pulmonary artery trunk aneurysm and right pulmonary artery atresia. The heart chambers were filled with polymer protacryl mass for obtaining the cast. No such anomalies have been described in the literature so far. The probability of observing such type of vitium cordis in the human clinics is not excluded.
