SURGICAL TREATMENT OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT AT HUE CENTRAL HOSPITA

Abstract

Pulmonary atresia with ventricular septal defect (PA-VSD) is a complex cardiopathy represented by a complete obstruction between the right ventricle outflow and the pulmonary trunk associated with a ventricular septal defect (VSD). Treatment of PAVSD has evolved during recent decades, but it still remains challenging.
Objective: to evaluate the result of surgical treatment for children with PAVSD at Hue Central Hospital.
Methods: A retrospective study was carried out between january 2012 and january 2017, all patients underwent operated PA-VSD at Hue central hospital.
Results: 52 patients included this study; mean age: 2.12 $ 0.46 (0.15-5); classification: type I: 18 (34.6%), type II: 15 (28.9%), type III and IV: 19 (36.5%). Techniques of operation: total repair: 30 (57.7%), blalock shunt: 10 (19.2%) extends to the bifurcation + blalock shunt: 122 (23.1%). Early mortality was 5/52 (9.6%): Early mortality of total repair was 2/30 (6.7%), Early mortality of extends to the bifurcation +blalock shunt was 3/22 (13.6%).
Conclusion: Early diagnosis and surgery in right time bring the good result. Surgical PA-VSD gives good results.