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Mid-term results after correction of type I and type II persistent truncus arteriosus in older patients
Authors:Zhang Yan  Li Shou-jun  Yan Jun  Hu Sheng-shou  Shen Xiang-dong  Xu Jian-ping
Affiliation:Department of Cardiovascular Surgery, Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Abstract:Abstract Objective: This study aims to analyze long‐term results after correction of type I and type II truncus arteriosus in older patients operated in one institution over five years. Methods: Between 2006 and 2010, 12 patients, median age 4 years, underwent repair of truncus arteriosus. Repair with reconstruction of the right ventricular to pulmonary artery continuity was performed using a valved conduit in 12 patients. Results: There was no early mortality. All patients are alive with their original conduit 0.6 to 5 years after correction. No patients required reoperations for conduit dysfunction. Recent clinical examination was undertaken in all patients and they are in good condition. Conclusions: Though mean age at operation was higher in this study than published results, the operation should be performed if the pulmonary vascular resistance is under 8 units.m2 before operation .
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