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Surgical and interventional treatments of congenital heart diseases in Da Nang Hospital, Vietnam
Surgical and interventional treatments of congenital heart diseases in Da Nang Hospital, Vietnam
Background We conducted this study to explore the trend and the percentage of congenital heart disease (CHD) visited Da Nang hospital from 2010 to 2015. Another objective was to develop criteria that help to classify atrial septal defect (ASD) patients as patients suitable for surgical or transcatheter closure procedures. In addition, we compared the effectiveness and safety of surgical and transcatheter methods for ASD patients. Methods The data involved the information of all CHD patients treated in Da Nang hospital from January 2010 to December 2015. The selection involved all the patient cases treated with surgical and transcatheter closure procedures. All cases without clear data on transcatheter or surgical intervention were excluded. A total of 1220 cases were eligible for the study. All the data collected was based on paper medical records. Results A total of 1220 CHD patients were recruited in the study, of which 58.9% were women, and 41.1% were men. Most of CHD patients belonged to the age group of 0-9 (70.2%). A total of 266 ASD patients were included in the study, of which 186 women (69.9%) and 80 men (30.1%). The distribution of male and female proportions was relatively similar between years. After adjusting for sufficient rim among ASD patients, the cut-off point of the length of the defect for an operation would be 34.1 mm, while the width of the defect would be 33.3 mm. Both surgical and transcatheter closure procedures were safe for ASD patients. The total price for a case of ASD operation was significantly higher than that for a case of transcatheter closure. Conclusion We suggest that Vietnam should continue investing more in early diagnosis and treatment for CHD patients. Hospital in Vietnam should update the technology and find transcatheter closure devices with reasonable prices so that more ASD patients would afford to use.
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Ho, Xuan Tuan
2021
English
Universitätsbibliothek der Ludwig-Maximilians-Universität München
Ho, Xuan Tuan (2021): Surgical and interventional treatments of congenital heart diseases in Da Nang Hospital, Vietnam. Dissertation, LMU München: Faculty of Medicine
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Abstract

Background We conducted this study to explore the trend and the percentage of congenital heart disease (CHD) visited Da Nang hospital from 2010 to 2015. Another objective was to develop criteria that help to classify atrial septal defect (ASD) patients as patients suitable for surgical or transcatheter closure procedures. In addition, we compared the effectiveness and safety of surgical and transcatheter methods for ASD patients. Methods The data involved the information of all CHD patients treated in Da Nang hospital from January 2010 to December 2015. The selection involved all the patient cases treated with surgical and transcatheter closure procedures. All cases without clear data on transcatheter or surgical intervention were excluded. A total of 1220 cases were eligible for the study. All the data collected was based on paper medical records. Results A total of 1220 CHD patients were recruited in the study, of which 58.9% were women, and 41.1% were men. Most of CHD patients belonged to the age group of 0-9 (70.2%). A total of 266 ASD patients were included in the study, of which 186 women (69.9%) and 80 men (30.1%). The distribution of male and female proportions was relatively similar between years. After adjusting for sufficient rim among ASD patients, the cut-off point of the length of the defect for an operation would be 34.1 mm, while the width of the defect would be 33.3 mm. Both surgical and transcatheter closure procedures were safe for ASD patients. The total price for a case of ASD operation was significantly higher than that for a case of transcatheter closure. Conclusion We suggest that Vietnam should continue investing more in early diagnosis and treatment for CHD patients. Hospital in Vietnam should update the technology and find transcatheter closure devices with reasonable prices so that more ASD patients would afford to use.