Abstracts of the 66th Annual Conference of IACTS, February 2020

2020 Indian Journal of Thoracic and Cardiovascular Surgery  
adolescents and adults with TOF who had hypoplastic pulmonary annulus underwent concomitant TOF repair with PVR at our institute. We retrospectively collected the data from the hospital records including follow up. Results: Mean age of the patients was 18.48±7.53 years. Bioprosthetic valve size ranged from 19mm to 25mm. There was no early or late mortality. No patient had developed low cardiac output syndrome (LCOS), acute renal failure, ventricular dysfunction, arrhythmias, or sepsis.
more » ... was complete and at a mean duration of 41.3 ±10.4 months, no patient required reoperation or re-interventions. Mean QRS duration, RV function, RV end systolic and end diastolic dimensions, Prosthetic valve gradient, RV myocardial performance index and Functional status(including NYHA class and 6-minute walk test) were not significantly different as compared to pre-discharge value. During follow-up, 2 patients (5.4%) developed moderate PR, and 2 patients (5.4%) developed moderate PS. Conclusion: Concomitant PVR with TOF repair in adult provides excellent early and midterm outcome, with acceptable rate of pulmonary valve degeneration at midterm. It not only smoothens the early postoperative course but, also preserves the right ventricular function as well as functional status at mid-term.
doi:10.1007/s12055-020-00948-7 fatcat:ryhqt2rzlzdcfiay2ead34oqse