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Long-Term Outcome and Risk Factor Analysis of Surgical pulmonary valve replacement in Congenital Heart Disease

Congenital Heart Disease 2022年第3期17卷 335-350页

作者： Woo Young Park Gi Beom Kim Sang Yun Lee Mi Kyoung Song Hye Won Kwon Hyo Soon An Eun Jung Bae Sungkyu Cho Jae Gun Kwak Woong-Han Kim Department of Pediatrics Seoul National University Children’s HospitalSeoul National University College of MedicineSeoulKorea Department of Thoracic and Cardiovascular Surgery Seoul National University Children’s HospitalSeoul National University College of MedicineSeoulKorea

Objectives:To establish long-term outcome of surgical pulmonary valve replacement(PVR)in congenital heart disease(CHD)and to identify risk factors for overall mortality,operative mortality,and repetitive ***:This is a retrospective study of 375 surgical PVR in 293 patients who underwent surgical PVR for CHD between January 2000 and May *** only included patients with index PVR with previous open-heart surgery regardless of the number of *** previous surgical history of patients who underwent PVR during the study period was also *** who underwent the Rastelli operation,and those who underwent single PVR without previous open-heart surgery were ***:The median age of the patients at the time of surgical PVR was 14.9 years(Interquartile range,IQR,11.0–22.0).The median follow-up duration was 10.5 years(IQR,5.5–14.8 years).There were 3 patients with operative mortality(1.0%)and 15 patients with overall mortality(5.1%).The survival rate was 95.1%over 20 years follow-up *** analysis demonstrated that more than 3 times of previous open-heart surgeries before surgical PVR,older age at the first operation,longer cardiopulmonary bypass(CPB)time and longer intensive care unit(ICU)stay were predictors for overall *** who underwent surgical PVR after more than 3 times of previous open-heart surgeries had significantly higher mortality than those who underwent open-heart surgeries less than 3 times(Pvalve problems and longer ICU stay were significant predictors for repetitive PVR by multivariate ***:Though surgical PVR has excellent long-term outcome,it should be performed with caution for those who previously underwent multiple open-heart surgeries,especially if patient received more than 3 times of open-heart surgeries.

关键词： pulmonary valve replacement mortality operative mortality repetitive pulmonary valve replacement risk factor analysis childhood

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Transcatheter pulmonary valve replacement in congenital heart diseases

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Pediatric Investigation 2022年第4期6卷 280-290页

作者： Adolphus Kai-Tung Chau Department of Paediatrics The Chinese University of Hong Kong Medical CentreHong KongChina

Surgical repair of a variety of congenital heart diseases involves repair of the right ventricular outflow tract(RVOT)with valved or non-valved conduit to connect the right ventricle(RV)to the pulmonary artery(PA)or just patch enlargement of the native *** time,this RV-PA conduit will degenerate with deterioration of function,either causing pulmonary stenosis or pulmonary *** RVOT dysfunction may result in RV dilation,RV dysfunction,and eventual RV failure and *** surgical pulmonary valve replacement(PVR)is often required throughout the patient’s *** are subjected to increased risks with each additional cardiac *** PVR(TPVR)has been developed over the past two decades as a valuable non-surgical alternative to restore the RVOT and RV function,and hence reduce patients’lifetime risks related to *** article will discuss the long-term results of TPVR which are demonstrated to be comparable to surgical results and the latest development of large pulmonary valves which will allow TPVR to be performed on native or larger RVOT.

关键词： Congenital heart disease Heart valve prosthesis pulmonary valve replacement Transcatheter

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Transcatheter pulmonary valve Implantation:A State of the Art Review

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Congenital Heart Disease 2024年第5期19卷 513-533页

作者： Biagio Castaldi Francesco Prati Alice Pozza Irene Cattapan Jennifer Fumanelli Domenico Sirico Giovanni Di Salvo Paediatric Cardiology Unit Department of Women’s and Child’s HealthUniversity of PaduaPadua35129Italy PhD School in Developmental Medicine and Health Planning Sciences University of PaduaPadua35129Italy

Congenital heart disease(CHD)affects about 1%of live *** them,about 20%will undergo one or more surgical or percutaneous maneuvers on the right ventricle outflow tract or pulmonary *** pulmonary valve implantation is a recently available less invasive alternative to surgery for treatment of right ventricular outflow tract ***,residual dysfunction can be treated early and with a lower risk *** narrative review aimed to describe the state of the art of percutaneous pulmonary valve implantation.

关键词： Congenital heart disease percutaneous pulmonary valve implantation melody sapien venus P harmony alterra pulsta pulmonary valve replacement

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