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Transcatheter Closure Versus Repeat Surgery for the Treatment of Postoperative Left-to-Right Shunts: A Single Center 15-Year Experience.
- Source :
-
Cardiology research [Cardiol Res] 2017 Dec; Vol. 8 (6), pp. 286-292. Date of Electronic Publication: 2017 Dec 22. - Publication Year :
- 2017
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Abstract
- Background: Repeat surgery and the percutaneous approach (transcatheter closure (TCC)) have been used for the management of postoperative left-to-right shunts. In this study, we described our 15 years of experience in treating postoperative left-to-right shunts with these two approaches.<br />Methods: From February 2002 to February 2017, 50 patients with residual left-to-right shunts, following cardiac surgery, were treated using TCC or repeat surgery. Clinical examination, standard 12-lead electrocardiography, chest X-ray, and a transthoracic echocardiogram were performed before hospital discharge and at all follow-ups.<br />Results: The closure rate was 100% in both groups and there was no procedure-related mortality. Patients with TCC had few complications. The procedure time and duration of hospital stay for TCC patients were 58.9 ± 27.7 min and 6.1 ± 0.8 days, respectively. Eleven out of 19 patients receiving reoperation suffered serious complications after surgery, e.g., bleeding and nosocomial infections. The operation time and duration of hospital stay for reoperation patients were 256.7 ± 60.5 min and 17.0 ± 4.0 days, respectively. No other serious complications were seen at all follow-up visits for both groups.<br />Conclusions: In conclusions, TCC is safe and effective for the management of postoperative left-to-right shunts, and is associated with few complications, which can be the favored closure strategy over repeat surgery for the management of postoperative left-to-right shunts.<br />Competing Interests: None.
Details
- Language :
- English
- ISSN :
- 1923-2829
- Volume :
- 8
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Cardiology research
- Publication Type :
- Academic Journal
- Accession number :
- 29317971
- Full Text :
- https://doi.org/10.14740/cr629e