PMID: 8604933Dec 1, 1995Paper

Factors influencing perioperative morbidity during palliation of the univentricular heart

The Annals of Thoracic Surgery
J J LambertiJ W Moore

Abstract

The modified Fontan procedure has become the treatment of choice for patients born with a univentricular heart. Although the operative mortality has steadily decreased in recent years, the hospital stay is still prolonged in many patients due to fluid retention and pleural effusions. We retrospectively analyzed subsets of patients undergoing the bidirectional cavopulmonary shunt (BDCPS) and modified Fontan procedure in an attempt to define factors influencing operative mortality and morbidity. Multivariate analysis of 64 patients undergoing BDCPS revealed that age 6 months or less, concomitant operation, mean pulmonary pressure of 15 mm Hg or less, and mean pulmonary artery ratio of 1.8:1 or less were not statistically significant indicators of risk. Abnormal pulmonary artery architecture was a significant predictor of early and late death (p < or = 0.01). Retrospective analysis of 71 patients undergoing the modified Fontan procedure revealed no significant relationship between duration of pleural effusions and age at operation, preoperative oxygen saturation, pulmonary artery pressure, ventricular end-diastolic pressure, or prior BDCPS: Patients with important aortopulmonary collateral vessels defined by angiography had prolon...Continue Reading

References

Feb 1, 1992·Circulation·D J DriscollG K Danielson
Jun 1, 1991·The Annals of Thoracic Surgery·E C DouvilleD A Fyfe
May 1, 1990·Circulation·F FontanE H Blackstone
May 1, 1971·Thorax·F Fontan, E Baudet
May 1, 1994·Journal of Cardiac Surgery·R D MainwaringJ C Nelson

❮ Previous
Next ❯

Citations

Jan 13, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·M YoshidaK Yoshizumi
Aug 1, 1996·The Annals of Thoracic Surgery·M L JacobsW I Norwood
May 1, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ahmad SallehuddinZohair Al-Halees
Sep 2, 2000·The Annals of Thoracic Surgery·G S Van ArsdellW G Williams
Feb 24, 2001·The Annals of Thoracic Surgery·V Alexi-MeskishviliR Hetzer
Oct 6, 1999·The Annals of Thoracic Surgery·K R KanterA A Raviele
Jul 10, 2003·Critical Care Clinics·Steven M SchwartzDavid P Nelson
May 11, 2010·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Song FuSchranz Dietmar
Dec 17, 1998·Cardiology in the Young·R D Mainwaring, J J Lamberti
Oct 28, 2010·Cardiology in the Young·Shaji C MenonFrank Cetta
Jul 1, 2008·Annals of Pediatric Cardiology·Sachin Khambadkone
Jan 19, 2016·Heart, Lung & Circulation·Thomas G WilsonYves d'Udekem
Mar 5, 2016·International Journal of Cardiology·Thomas G WilsonUNKNOWN Australia and New Zealand Fontan Registry
Dec 16, 2011·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Joshua R KovachSteven D Zangwill
Dec 21, 2007·Journal of Interventional Cardiology·Stanislav OvroutskiFelix Berger
Jun 28, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Masataka KitanoKoji Kagisaki
Jun 3, 2004·The Journal of Thoracic and Cardiovascular Surgery·Anuja GuptaVaughn Starnes
May 12, 2004·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Usha S KrishnanLinda J Addonizio
Nov 24, 1999·The American Journal of Cardiology·N Heragu, L Mahony
Apr 22, 2009·The Annals of Thoracic Surgery·Faraz KerendiPaul M Kirshbom
Jun 4, 1999·The Annals of Thoracic Surgery·J J Lamberti, K C Uzark
May 8, 2002·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Kirk R Kanter, Robert N Vincent
Nov 16, 2004·Journal of the American College of Cardiology·K Anitha JayakumarDaphne T Hsu
Feb 18, 2017·Journal of Interventional Cardiology·Shyam SathanandamAthar M Qureshi
Sep 25, 2008·Asian Cardiovascular & Thoracic Annals·Suchaya SilvilairatWeerachai Nawarawong
Mar 20, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Therese M Giglia, Tilman Humpl
Dec 13, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·K YamadaE Baudet
Nov 1, 1995·Circulation·R D MainwaringR L Spicer
Oct 1, 2018·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Sachin TalwarBalram Airan
Aug 13, 2020·General Thoracic and Cardiovascular Surgery·Saviga SethasathienSurin Woragidpoonpol
May 4, 2021·Annals of Cardiac Anaesthesia·Muhammad TariqSyed Shahabuddin

❮ 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.

Related Papers

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Ahmad SallehuddinZohair Al-Halees
The Annals of Thoracic Surgery
L D Cowgill
© 2021 Meta ULC. All rights reserved