دورية أكاديمية
أعرض في EDS

Outcomes of biventricular repair for shone's complex.

التفاصيل البيبلوغرافية
العنوان: Outcomes of biventricular repair for shone's complex.
المؤلفون: Elmahrouk AF; Division of Cardiac Surgery, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Tanta University, Tanta, Egypt., Ismail MF; Division of Cardiac Surgery, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Mansoura University, Mansoura, Egypt., Arafat AA; Department of Cardiothoracic Surgery, Tanta University, Tanta, Egypt., Dohain AM; Department of Pediatric Cardiology, Cairo University, Giza, Egypt.; Department of Pediatric Cardiology, King Abdulaziz University, Jeddah, Saudi Arabia., Helal AM; Department of Pediatric Cardiology, Cairo University, Giza, Egypt.; Department of Pediatric Cardiology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Hamouda TE; Division of Cardiac Surgery, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Cardiothoracic Surgery, Benha University, Benha, Egypt., Galal M; Department of Cardiac Surgery, Cardiac Center, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia., Edrees AM; Division of Cardiac Surgery, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Al-Radi OO; Division of Cardiac Surgery, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.; Department of Surgery, Cardiac Surgery Section, King Abdulaziz University, Jeddah, Saudi Arabia., Jamjoom AA; Division of Cardiac Surgery, Department of Cardiovascular, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.
المصدر: Journal of cardiac surgery [J Card Surg] 2021 Jan; Vol. 36 (1), pp. 12-20. Date of Electronic Publication: 2020 Oct 08.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8908809 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8191 (Electronic) Linking ISSN: 08860440 NLM ISO Abbreviation: J Card Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Hoboken, NJ : Wiley-Blackwell
Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., Inc., [c1986-
مواضيع طبية MeSH: Heart Defects, Congenital*/surgery, Aortic Valve/diagnostic imaging ; Aortic Valve/surgery ; Follow-Up Studies ; Humans ; Infant ; Mitral Valve/diagnostic imaging ; Mitral Valve/surgery ; Retrospective Studies
مستخلص: Background: Shone's complex is a rare lesion affecting the mitral valve (MV) and left ventricular outflow tract (LVOT). The objective of this study is to report the outcomes after Shone's complex repair, the growth of mitral and aortic valve and LVOT, and long-term survival.
Methods: This retrospective study included all patients diagnosed with Shone's complex, who underwent biventricular repair. Data including patients' characteristics, type of the MV lesion and the associated lesions were collected. Patients were followed up regularly with echocardiography, and the changes in mitral and aortic valve z-score and LVOT z-score were recorded.
Results: Thirty-seven patients were included in the study, the median age was 3.4 months, and 11 patients (30.6%) had pulmonary hypertension. The main procedure performed during the first surgical intervention was coarctation repair in 26 patients (70%). Twelve patients had MV repair, and five had MV replacement. Operative mortality occurred in 1 patient (2.7%), median follow up was 52 (25-75th percentile: 22-84) months. Survival at 1, 5, and 10 years was 94.4%, 90%, and 76.9%, respectively. Reoperation was required in 13 patients, mainly for LVOT repair (n = 8). Reoperation was significantly associated with associated aortic valve lesion (p = .044). The growth of the MV z-score was 0.35 per year; p < .001, aortic valve z-score 0.086 per year; p = 0.422, and the LVOT z-score was 0.53 per year; p = .01.
Conclusion: Biventricular repair of Shone's complex has good outcomes. Reoperation is frequently encountered, especially with low aortic valve z-score. The MV and LVOT have significant growth following Shone's complex repair.
(© 2020 Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: biventricular repair; coarctation of the aorta; congenital aortic stenosis; left ventricular outflow tract obstruction; parachute mitral valve; shone's complex
تواريخ الأحداث: Date Created: 20201008 Date Completed: 20210514 Latest Revision: 20210514
رمز التحديث: 20231215
DOI: 10.1111/jocs.15090
PMID: 33032391
قاعدة البيانات: MEDLINE
الوصف
تدمد:1540-8191
DOI:10.1111/jocs.15090