Midline one-stage complete unifocalization early outcomes from a single center
Objective: This study aims to present our experience with single-stage complete unifocalization and intraoperative flow study for the repair of ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries. Methods: This study was conducted through retrospective chart re...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
KARE Publishing
2019-08-01
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| Series: | Anatolian Journal of Cardiology |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-58235 |
| _version_ | 1797906841963855872 |
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| author | Oktay Korun Okan Yurdakök Mehmet Dedemoğlu İlker Kemal Yücel Ahmet Çelebi Şefika Türkan Kudsioğlu Ahmet Sasmazel Numan Ali Aydemir |
| author_facet | Oktay Korun Okan Yurdakök Mehmet Dedemoğlu İlker Kemal Yücel Ahmet Çelebi Şefika Türkan Kudsioğlu Ahmet Sasmazel Numan Ali Aydemir |
| author_sort | Oktay Korun |
| collection | DOAJ |
| description | Objective: This study aims to present our experience with single-stage complete unifocalization and intraoperative flow study for the repair of
ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries.
Methods: This study was conducted through retrospective chart review of all the patients who underwent complete single-stage midline unifocalization in a single tertiary-care institution.
Results: Twenty-two patients underwent midline single-stage unifocalization. The median age was 11 months (IQR: 5–21 months). The number
of collateral arteries unifocalized was between one and three (median two). In-hospital mortality was 5%. Follow-up was complete; and the
median follow-up regarding survival was 20 months (IQR: 10–28 months). There were three late deaths, and the estimated survival rate was 80% at 10 months and on. Out of 22 patients, ventricular septal defect was closed in the first surgery in three patients (14%) and the second surgery in four patients (19%). Total seven patients underwent surgical total repair (32%). Additionally, one out of four patients whose ventricular septal defects were closed with a fenestrated patch is under follow-up with a small ventricular septal defect, while two are waiting for ventricular septal defect closure. Therefore, total eight patients (36%) have reached total correction.
Conclusion: Single-stage unifocalization is a feasible treatment option in ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries. This cohort had unfavorable results regarding the rate of complete repair. The pitfalls encountered were related to problems with meticulous surgical technique, complete unifocalization, and correct implementation of the flow study. |
| first_indexed | 2024-04-10T10:27:00Z |
| format | Article |
| id | doaj.art-d2b1cff7a26b44e890d54d5fab537510 |
| institution | Directory Open Access Journal |
| issn | 2149-2263 |
| language | English |
| last_indexed | 2024-04-10T10:27:00Z |
| publishDate | 2019-08-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Anatolian Journal of Cardiology |
| spelling | doaj.art-d2b1cff7a26b44e890d54d5fab5375102023-02-15T16:21:20ZengKARE PublishingAnatolian Journal of Cardiology2149-22632019-08-0122312513110.14744/AnatolJCardiol.2019.58235AJC-58235Midline one-stage complete unifocalization early outcomes from a single centerOktay Korun0Okan Yurdakök1Mehmet Dedemoğlu2İlker Kemal Yücel3Ahmet Çelebi4Şefika Türkan Kudsioğlu5Ahmet Sasmazel6Numan Ali Aydemir7Department of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-TurkeyDepartment of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-TurkeyDepartment of Pediatric Cardiac Surgery, Mersin City Hospital; Mersin-TurkeyDepartment of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-TurkeyDepartment of Pediatric Cardiology, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-TurkeyDepartment of Anesthesiology and Reanimation, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-TurkeyDepartment of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-TurkeyDepartment of Pediatric Cardiac Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital; İstanbul-TurkeyObjective: This study aims to present our experience with single-stage complete unifocalization and intraoperative flow study for the repair of ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries. Methods: This study was conducted through retrospective chart review of all the patients who underwent complete single-stage midline unifocalization in a single tertiary-care institution. Results: Twenty-two patients underwent midline single-stage unifocalization. The median age was 11 months (IQR: 5–21 months). The number of collateral arteries unifocalized was between one and three (median two). In-hospital mortality was 5%. Follow-up was complete; and the median follow-up regarding survival was 20 months (IQR: 10–28 months). There were three late deaths, and the estimated survival rate was 80% at 10 months and on. Out of 22 patients, ventricular septal defect was closed in the first surgery in three patients (14%) and the second surgery in four patients (19%). Total seven patients underwent surgical total repair (32%). Additionally, one out of four patients whose ventricular septal defects were closed with a fenestrated patch is under follow-up with a small ventricular septal defect, while two are waiting for ventricular septal defect closure. Therefore, total eight patients (36%) have reached total correction. Conclusion: Single-stage unifocalization is a feasible treatment option in ventricular septal defect, pulmonary atresia, and major aortopulmonary collateral arteries. This cohort had unfavorable results regarding the rate of complete repair. The pitfalls encountered were related to problems with meticulous surgical technique, complete unifocalization, and correct implementation of the flow study.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-58235pulmonary atresiamajor aortopulmonary collaterals unifocalizationpulmonary flow study. |
| spellingShingle | Oktay Korun Okan Yurdakök Mehmet Dedemoğlu İlker Kemal Yücel Ahmet Çelebi Şefika Türkan Kudsioğlu Ahmet Sasmazel Numan Ali Aydemir Midline one-stage complete unifocalization early outcomes from a single center Anatolian Journal of Cardiology pulmonary atresia major aortopulmonary collaterals unifocalization pulmonary flow study. |
| title | Midline one-stage complete unifocalization early outcomes from a single center |
| title_full | Midline one-stage complete unifocalization early outcomes from a single center |
| title_fullStr | Midline one-stage complete unifocalization early outcomes from a single center |
| title_full_unstemmed | Midline one-stage complete unifocalization early outcomes from a single center |
| title_short | Midline one-stage complete unifocalization early outcomes from a single center |
| title_sort | midline one stage complete unifocalization early outcomes from a single center |
| topic | pulmonary atresia major aortopulmonary collaterals unifocalization pulmonary flow study. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-58235 |
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