A REVIEW OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT TREATMENT IN HANOI HEART HOSPITAL

Abstract

Objective: Evaluation of short-term outcome after treatment of pulmonary atresia with ventricular sep defect in Hanoi Heart Hospital.
Methods: Patient records of 188 patients with PA- VSD treated in Hanoi Heart Hospital from 01/2005 to 10/2016, were retrospectively analysed in this study.
Results: Mean age 3.2 $ 1,5 (0.16 to 25 years); Classification: Type I: 65 patients (34.6%), type II: 56 (29.8%), type III: 47 (25%), type IV: 20 (10.6%); Treatment: Complete repair: 106 (56.4%), MAPCA unifocalization with RV-PA shunt (Sano shunt): 16 (8,5%), MAPCAs unifocalization with BT shunt 13 (6.9%), BT shunt only 53 (28.2%), Early death: 8/188 (4.3%).
Conclusions: Correct diagnostic and surgery indication help improve the outcome of PA-VSD patients.