초록접수 현황
| 19F-242 | 구연 발표 |
Outcome after Surgical Repair of Coronary Arteriovenous Fistulae
Sungbin Cho, Eun Seok Choi, Bo Sang Kwon, Chun Soo Park, Tae-Jin Yun
Division of Pediatric Cardiac Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Republic of Korea
Purpose : Transcatheter closure is considered as a choice for treatment of coronary arteriovenous fistula to avoid surgical complications including surgical stress, bleeding, infections, events related to inflammatory response due to cardiopulmonary bypass, wound healing problem and general anesthesia adverse events. We investigated the characteristics of CAVF and the outcome after surgical repair of CAVF.
Methods : From 1996 to 2018, 18 patients underwent surgical repair for CAVF. Median follow-up duration was 176 months. We looked for incidence of postoperative bleeding, arrhythmia, duration of mechanical ventilation, hospital and intensive care unit(ICU) stay, mortality, residual fistula flow.
Results : Median age and weight at surgery were 39 months and 16kg, respectively. CAVF were originated from right coronary artery in 12 patients (67%), left anterior descending artery in 3 (17%), and left main coronary artery in 3 (17%); CAVF were terminated through the right ventricle in 8 (45%), right atrium in 7 (39%) and left ventricls in 3 (17%). CAVF was simply ligated at its origin without cardiopulmonary bypass (CPB) in 6 patients (34%), closed through the coronary artery in 5 patients (28%), and obliterated at its termination in 2 patients (11%). Median CPB time and ischemic time were 61 minutes and 28minutes.
Conclusion : The outcome after surgical repair of CAVF is excellent.
Surgery should be considered as an option for treatment of CAVF in any circumstances where the catheter-based intervention is unfavorable.
Methods : From 1996 to 2018, 18 patients underwent surgical repair for CAVF. Median follow-up duration was 176 months. We looked for incidence of postoperative bleeding, arrhythmia, duration of mechanical ventilation, hospital and intensive care unit(ICU) stay, mortality, residual fistula flow.
Results : Median age and weight at surgery were 39 months and 16kg, respectively. CAVF were originated from right coronary artery in 12 patients (67%), left anterior descending artery in 3 (17%), and left main coronary artery in 3 (17%); CAVF were terminated through the right ventricle in 8 (45%), right atrium in 7 (39%) and left ventricls in 3 (17%). CAVF was simply ligated at its origin without cardiopulmonary bypass (CPB) in 6 patients (34%), closed through the coronary artery in 5 patients (28%), and obliterated at its termination in 2 patients (11%). Median CPB time and ischemic time were 61 minutes and 28minutes.
Conclusion : The outcome after surgical repair of CAVF is excellent.
Surgery should be considered as an option for treatment of CAVF in any circumstances where the catheter-based intervention is unfavorable.
첨부파일 : 조성빈 대흉 제출용.pptx
책임저자: Chun Soo Park
Division of Pediatric Cardiac Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Republic of Korea
발표자: Sungbin Cho, E-mail : 150149@naver.com