The aortal arch plasty in a new-born babies, using “end-to-side” anastomosis

Keywords: aortal arch hypoplasia; anastomosis «end to side»; new-born babies.

Abstract

Objective. To analyze the immediate and late follow-up results of the aortal arch plasty, using anastomosis «end to side».

Materials and methods. In 2010 - 2019 yrs period in Amosov National Institute of Cardio-Vascular Surgery and Scientific-Practical Medical Centre of Pediatric Cardiology and Cardiosurgery in 75 new-born babies, suffering coarctation and hypoplasia of one or several segments of aortal arch its reconstruction was done, using ‘end-to-side” anastomosis. Into the investigation only the patients with a two-ventricular physiology and further two-ventricular correction were included. There were 41 (54.6%) boys and 34 (45.4%) girls. Average age of the patients was (2,5 ± 1,2) mo, and average body mass - (3.3 ± 0.6) kg. The main diagnostic method for the failure determination and immediate and late results studying was echocardiographic investigation.

Results. Hospital lethality have constituted 6.6% (5 patients died). The lethality causes were not connected with the aortal arch reconstructive procedure, using anastomosis «end to side». Duration of follow-up was 1 mo - 9.3 yrs, (2.8 ± 2.5) yrs at average. In late follow-up period 1 patient died. In 11 (14.6%) patients in postoperative period the aortal arch restenosis have developed. In 7 patients restenosis was eliminated endovascularly, using balloon dilatation. In 4 patients the aortal arch surgical replasty was done. Tracheal and the main bronchi compression, neurological complications in late follow-up period were not observed.

Conclusion. After plasty for the aortal arch hypoplasia, using anastomosis «end to side» in new-born babies good immediate and late follow-up results were noted, what witnesses its efficacy. In accordance to results of the investigation accomplished such kind of anastomosis applied may be used in patients, suffering hypoplasia of proximal aorta or in tubular hypoplasia of all aortal arch.

Author Biographies

Ya. P. Truba, Amosov National Institute of Cardiovascular Surgery NAMS of Ukraine, Kyiv

Truba Yaroslav P. - MD, DSci(Med),
Head of Department of Congenital Heart Disease
National Amosov Institute of Cardiovascular Surgery, Kyiv;
6 N. Amosov str., Kyiv, 03038, Ukraine,
+380 44 275-64-00
truba-mena@rambler.ru
orcid.org/0000-0001-5214-408X

І. V. Dzyurii, Amosov National Institute of Cardiovascular Surgery NAMS of Ukraine, Kyiv

Dzyurii Ivan V. - MD, Cardiac surgeon,
Department of Congenital Heart Disease
National Amosov Institute of Cardiovascular Surgery, Kyiv;
6 N. Amosov str., Kyiv, 03038, Ukraine,
+380 44 275-64-00
ivandzyurii@gmail.com.
orcid.org/0000-0002-1073-7060

O. O. Motrechko, Scientific-Practical Medical Centre of Pediatric Cardiology and Cardiosurgery, Kyiv

Motrechko Olexandra O. - MD, pediatric interventional cardiologist,
Department of X-ray and endovascular surgery,
"Center For Pediatric Cardiology and Cardiac Surgery", Kyiv
28/1Chornovola st., Kyiv,
(044) 238-78-07
orcid.org/0000-0002-0716-8450

O. S. Golovenko, Amosov National Institute of Cardiovascular Surgery NAMS of Ukraine, Kyiv

Golovenko Olexandr S. - MD, DSci(Med), Head Scientific Researcher
Department of Congenital Heart Disease
National Amosov Institute of Cardiovascular Surgery, Kyiv;
6 N. Amosov str., Kyiv, 03038, Ukraine,
+380 44 275-64-00
dr.golovenko@gmail.com
orcid.org/0000-0001-6002-3325

V. V. Lazoryshynets, Amosov National Institute of Cardiovascular Surgery NAMS of Ukraine, Kyiv

Lazoryshynets Vasyl V. - MD, DSci(Med), Professor,
Director of National Amosov Institute of Cardiovascular Surgery,
National Amosov Institute of Cardiovascular Surgery, Kyiv, Ukraine
6 N. Amosov str., 03038, Ukraine, Kyiv,
+380 44 275-64-00
lazorch@ukr.net
orcid.org/0000-0002-1748-561X

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Published
2020-12-28
How to Cite
Truba, Y. P., DzyuriiІ. V., Motrechko, O. O., Golovenko, O. S., & Lazoryshynets, V. V. (2020). The aortal arch plasty in a new-born babies, using “end-to-side” anastomosis. Klinicheskaia Khirurgiia, 87(11-12), 19-22. https://doi.org/10.26779/2522-1396.2020.11-12.19
Section
General Problems of Surgery