The results of rastelli procedure for pulmonary atresia with ventricular septal defect

Abstract

The objective of this study evaluated the results of Rastelli procedure for Pulmonary atresia with ventricular septal defect (PA-VSD) in E hospital.
 Methods: This was a review of seri PA-VSD cases who underwent Rastelli procedure from 8/2017 to 12/2021.[1]
 Results: There were 36 patients who underwent complete surgical repair (Rastelli procedure), include 26 patients with type A and 10 patients with type B. The mean age was 15,4 months and the mean weight was 8,3 kilograms. 14 patients had previous temporary surgery. The time of cardiopulmonary bypass, aortic clamping and ventilator were: 87,8 mins; 59,4 mins and 40,8 hours. There was 2,7% early death post opration 7 days in ICU. During follow-up time 31,2 months after surgery, there was no late death; 8,6% underwent reinterventions mostly due to pulmonary anastomotic stenosis; 2,8% with endocarditis.
 Conclusion: Rastelli procedure had low mortality rate to treat patients with PA-VSD. The hight rate of pulmonary anastomotic stenosis and reinterventional requirement post operation during follow-up still remain challenges.