PubTransformer

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PMID- 28231853
OWN - NLM
STAT- MEDLINE
DA  - 20170224
DCOM- 20170314
LR  - 20170314
IS  - 1749-8090 (Electronic)
IS  - 1749-8090 (Linking)
VI  - 12
IP  - 1
DP  - 2017 Feb 23
TI  - Reconstruction of the pulmonary posterior wall using in situ autologous tissue
      for the treatment of pulmonary atresia with ventricular septal defect.
PG  - 12
LID - 10.1186/s13019-017-0578-4 [doi]
AB  - BACKGROUND: To evaluate the early and mid-term results of pulmonary trunk
      reconstruction using a technique in which autogenous tissue is preserved in situ 
      in pulmonary atresia patients with a ventricular septal defect (PA-VSD). METHODS:
      The pulmonary artery was reconstructed using autogenous tissue that had been
      preserved in situ and a bovine jugular venous patch in 24 patients who were
      diagnosed with PA-VSD (the observation group). The traditional operation using a 
      bovine jugular venous conduit was performed in 40 other cases of PA-VSD (the
      control group). RESULTS: In the observation group, all patients survived and
      recovered successfully without complications. Follow-up echocardiography 2-10
      years after the procedure showed that the reconstructed right ventricular outflow
      tract (RVOT) and pulmonary artery were patent, showing no evidence of flow
      obstruction. Only mild regurgitation of the bovine jugular vein valve was
      observed. In the control group, early postoperative death occurred in two cases. 
      Another two patients had obstruction of the anastomotic stoma and underwent
      conduit replacement surgery within 2 weeks of the initial procedure. During the
      2-10 years of follow-up care, six patients presented with valvular stenosis of
      the BJVC, with a pressure gradient of more than 50 mmHg. CONCLUSIONS: The
      technique for preserving autogenous tissue to reconstruct the pulmonary posterior
      wall is a satisfactory method for treating PA-VSD.
FAU - Fan, Chengming
AU  - Fan C
AD  - Department of the cardiovascular surgery, the Second Xiangya Hospital, Central
      South University, Middle Renmin Road 139, 410011, Changsha, China.
FAU - Yang, Yifeng
AU  - Yang Y
AD  - Department of the cardiovascular surgery, the Second Xiangya Hospital, Central
      South University, Middle Renmin Road 139, 410011, Changsha, China.
FAU - Xiong, Lian
AU  - Xiong L
AD  - Department of the cardiovascular surgery, the Second Xiangya Hospital, Central
      South University, Middle Renmin Road 139, 410011, Changsha, China.
FAU - Yin, Ni
AU  - Yin N
AD  - Department of the cardiovascular surgery, the Second Xiangya Hospital, Central
      South University, Middle Renmin Road 139, 410011, Changsha, China.
FAU - Wu, Qin
AU  - Wu Q
AD  - Department of the cardiovascular surgery, the Second Xiangya Hospital, Central
      South University, Middle Renmin Road 139, 410011, Changsha, China.
FAU - Tang, Mi
AU  - Tang M
AD  - Department of the cardiovascular surgery, the Second Xiangya Hospital, Central
      South University, Middle Renmin Road 139, 410011, Changsha, China.
FAU - Yang, Jinfu
AU  - Yang J
AD  - Department of the cardiovascular surgery, the Second Xiangya Hospital, Central
      South University, Middle Renmin Road 139, 410011, Changsha, China.
      [email protected]
LA  - eng
PT  - Journal Article
DEP - 20170223
PL  - England
TA  - J Cardiothorac Surg
JT  - Journal of cardiothoracic surgery
JID - 101265113
RN  - Pulmonary Atresia With Ventricular Septal Defect
SB  - IM
MH  - Adult
MH  - Animals
MH  - Cardiac Surgical Procedures/*methods
MH  - Cattle
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Septal Defects/diagnosis/*surgery
MH  - Humans
MH  - Infant
MH  - Jugular Veins/*transplantation
MH  - Male
MH  - Pulmonary Artery/diagnostic imaging/*surgery
MH  - Pulmonary Atresia/diagnosis/*surgery
MH  - Reconstructive Surgical Procedures/*methods
MH  - Transplantation, Autologous
MH  - Treatment Outcome
PMC - PMC5324245
OTO - NOTNLM
OT  - Congenital heart disease
OT  - In situ autogenous tissue
OT  - Pulmonary atresia
OT  - Pulmonary reconstruction
EDAT- 2017/02/25 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/02/25 06:00
PHST- 2016/08/09 [received]
PHST- 2017/02/21 [accepted]
AID - 10.1186/s13019-017-0578-4 [doi]
AID - 10.1186/s13019-017-0578-4 [pii]
PST - epublish
SO  - J Cardiothorac Surg. 2017 Feb 23;12(1):12. doi: 10.1186/s13019-017-0578-4.

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