PMID: 9423944Jan 10, 1998Paper

Bidirectional cavo-pulmonary anastomosis with an additional flow source to the lungs: clinical experience in 21 cases

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
I BoriniL Zannini

Abstract

The Fontan operation is considered a palliative procedure for the treatment of complex congenital heart diseases with a morbidity and mortality that are not negligible, especially in high-risk patients. In these cases, a bidirectional cavopulmonary anastomosis with additional source of blood flow to the lungs can represent a valuable surgical option. Between November 1992 and December 1995, 21 patients with univentricular heart physiology were submitted to bidirectional cavopulmonary anastomosis with additional blood flow the additional flow consisted of an aortopulmonary shunt in 13 cases, pulmonary artery banding in seven cases, and pulmonary artery stenosis in one case. Mean age at operation was 35.5 months (range 4 months to 12 years) and mean body weight 10.9 (range 4-24.4) kg. Hospital mortality was zero. Morbidity (pleuropericardial effusions) was significant in one case. There were three late deaths (14%) caused by worsening atrioventricular valve regurgitation: two of these occurred in patients with right isomerism. Late haemodynamic evaluation documented a significant increase in cardiac output (P < 0.01) and oxygen saturation (P < 0.05) during pharmacological stress testing. Angiographic characterization of blood flo...Continue Reading

References

Mar 1, 1989·The Annals of Thoracic Surgery·E MazzeraC Marcelletti
Nov 1, 1968·The Annals of Thoracic Surgery·C P ClarkeH Sloan
Apr 1, 1983·The Annals of Thoracic Surgery·C MarcellettiA E Becker
Apr 1, 1995·The Annals of Thoracic Surgery·W B Knight, R B Mee
Jan 1, 1993·Journal of the American College of Cardiology·S A RebergenA de Roos
Mar 1, 1996·The Annals of Thoracic Surgery·K MiyajiT Isoda

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