Surgical experience with persistent truncus arteriosus in symptomatic infants under 1 year of age. Report of 13 consecutive cases.

AUTOR(ES)

Musumeci, F

RESUMO

Between January 1974 and November 1980, 13 symptomatic infants under 1 year of age with persistent truncus arteriosus type I or II underwent surgery. Pulmonary artery banding was performed in 10 cases, with five deaths. Among the survivors, one developed severe pulmonary vascular disease and only two underwent late intracardiac repair. Primary total correction was performed in three infants and all are well, though one required conduit replacement five and a half years after the initial procedure. Recently, antibiotic sterilised homograft conduits, rather than heterografts, have been preferred as extracardiac conduits in infancy. Early intracardiac repair followed, if necessary, by later conduit replacement appears to have significant advantages over "conventional" pulmonary artery banding and late total correction. Concern remains on the treatment of choice in infants under 3 months of age.

Documentos Relacionados

• Surgical treatment of persistent truncus arteriosus in the first year of life.
• Two-dimensional echocardiography in infants with persistent truncus arteriosus.
• Persistent truncus arteriosus with survival to the age of 38 years.
• Closed pulmonary valvotomy in infants under 6 months of age: report of 14 consecutive cases without mortality.
• Liver transplantation in infants younger than 1 year of age.