Riera-Kinkel C, Hernández-Pérez AL, Durán-García E, Martínez-Sánchez A, Jiménez-Arteaga S, Jiménez-Espinosa R, Medina-Concebida LE, Alva-Espinosa C

Language: Spanish
References: 17
Page: 25-31
PDF size: 259.16 Kb.

ABSTRACT

Objective. To know the morbidity and death of patients with surgical pulmonary valve replacement.
Material and methods. 57 patients with the surgical pulmonary valve replacement were followed.
Results. They were male 31 (56%); with tetralogy of Fallot 31 (54.4%), pulmonary atresia with ventricular septal defect 14 (24.6%), common trunk five (8.8%), double outlet right ventricle track with ventricular septal defect in four (7%) and a case respectively of Ebstein anomaly, transposition of the great vessels and ventricular septal defect. In 38 (67%) were implanted prosthesis in pulmonary position, 34 of biological type. In 19 (33%) was realized Rastelli surgery. Presented early complications 11 (19%) with heart failure four (7%), pulmonary arterial hypertension two (3.5%). In late complications two (3.5%) had valvulate bose failure.
Died six patients (10.5%), for cardiogenic shock. The average time of monitoring of patients following surgery was 37.6 months (3-59) not requiring newly surgery 49 cases, 96% of survivors.
Conclusions. The results of the follow-up in the short, medium and long term of pediatric patients with replacement of pulmonary valve, already are using mechanical, biological prostheses or Rastelli surgery show low morbidity and mortality rate, regardless of etiology.

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