One-stage neonatal Yasui procedure: Presentation of our surgical experience and a new decision-making algorithm

IF 0.3 Q4 SURGERY Cirugia Cardiovascular Pub Date : 2024-03-01 DOI:10.1016/j.circv.2022.11.001
Consuelo A. Gotor , Enrique García , Francisco J. Arias , Miguel A. Granados , Elena Montañes , Alberto Mendoza , María T. Garcia , Lorenzo Boni
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Abstract

Objectives

The aim of this study is to present our experience with three patients who underwent a neonatal Yasui procedure, and to show the new decision-making algorithm.

Methods

This is a series of three neonates operated on at our hospital between 2017 and 2022.

Results

All the patients underwent a primary Yasui. The duration of cardiopulmonary bypass was 275, 249 and 391 min, in patient 1, 2 and 3, respectively. After surgery, the Intensive Care Unit stay of patients 1, 2 and 3 was 29, 22 and 24 days, respectively. The patients were discharged in good condition. Subsequent complications during follow-up included the need for percutaneous intervention in patient 1 for the implantation of a stent in the right pulmonary branch (at 6 months postoperatively) and a stent in the right ventricle-pulmonary artery conduit (at 42 months). Patient 2 required right ventricle-pulmonary artery conduit replacement and repair of moderate-severe left ventricular outflow tract obstruction at 16 months postoperatively. Patient 3 needed a reoperation at 3 months postoperatively due to aortic arch stenosis at different levels and a residual ventricular septal defect. Currently, all patients are alive with adequate echocardiographic biventricular function.

Conclusions

In experienced centers, primary Yasui repair can be performed in the neonatal period with satisfactory results.

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一期新生儿Yasui手术:介绍我们的手术经验和一种新的决策算法
本研究旨在介绍我们对三名接受新生儿安井手术的患者的治疗经验,并展示新的决策算法。患者 1、2 和 3 的心肺旁路时间分别为 275、249 和 391 分钟。术后,患者 1、2 和 3 在重症监护室的住院时间分别为 29、22 和 24 天。患者出院时情况良好。随访期间出现的并发症包括:患者1需要经皮介入治疗,在右肺分支植入支架(术后6个月),在右心室-肺动脉导管植入支架(42个月)。患者 2 在术后 16 个月时需要更换右室-肺动脉导管,并修复中重度左室流出道梗阻。患者 3 因主动脉弓不同程度狭窄和室间隔缺损残留,术后 3 个月需要再次手术。目前,所有患者均存活,超声心动图显示双心室功能正常。
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来源期刊
CiteScore
0.50
自引率
66.70%
发文量
109
审稿时长
69 days
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