Double-barrel Damus-Kaye-Stansel operation is better than end-to-side Damus-Kaye-Stansel operation for preserving the pulmonary valve function: the importance of preserving the shape of the pulmonary sinus

The Journal of Thoracic and Cardiovascular Surgery
Yasuhiro FujiiShunji Sano

Abstract

The Damus-Kaye-Stansel operation sometimes results in deteriorating semilunar valve insufficiency. We verified the semilunar valve function after the Damus-Kaye-Stansel operation and compared the end-to-side Damus-Kaye-Stansel with the double-barrel Damus-Kaye-Stansel. Forty-seven patients who underwent the Damus-Kaye-Stansel operation between June 1993 and August 2008 were retrospectively reviewed. Any patient who underwent a Norwood-type operation was excluded. The median age at operation was 19 months (range, 0-276 months). Forty-five patients were Fontan candidates. Thirty-nine patients underwent pulmonary artery banding before the Damus-Kaye-Stansel operation. Twenty-two patients had undergone an arch repair previously. The semilunar valve function was evaluated by echocardiography. Thirteen patients underwent the end-to-side Damus-Kaye-Stansel operation, and 34 patients underwent the double-barrel Damus-Kaye-Stansel operation. The mean follow-up period was 71 ± 50 months (range, 1-188 months). Although there were 4 deaths, no death was related to the Damus-Kaye-Stansel procedure. Two of the patients with early death could not undergo a postoperative evaluation of the semilunar valves. The semilunar valve regurgitation mil...Continue Reading

References

Jul 1, 1993·The Annals of Thoracic Surgery·R N GatesR G Williams
Feb 1, 1993·The Annals of Thoracic Surgery·C B HuddlestonT L Spray
Sep 2, 1998·The Annals of Thoracic Surgery·R M Freedom
Mar 20, 2002·The Annals of Thoracic Surgery·Takeshi HiramatsuTakahiko Sakamoto

❮ Previous
Next ❯

Citations

Apr 21, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Shigemitsu IwaiHidefumi Kishimoto
May 11, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bahaaldin AlsoufiZohair Al-Halees
Sep 11, 2014·The Korean Journal of Thoracic and Cardiovascular Surgery·Chan Kyu YangWoong-Han Kim
Sep 19, 2015·The Annals of Thoracic Surgery·Sanae YamauchiHidefumi Kishimoto
Oct 15, 2011·The Journal of Thoracic and Cardiovascular Surgery·Masatoshi ShimadaHajime Ichikawa
Nov 1, 2013·Journal of the Saudi Heart Association·Bahaaldin Alsoufi
Jun 3, 2020·Journal of Cardiac Surgery·Anoop S SumalAhmed M H A M Mostafa

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.