Forward Flow Through the Pulmonary Valve After Bidirectional Cavopulmonary Shunt Benefits Patients at Fontan Operation

The Annals of Thoracic Surgery
Koichi SughimotoIgor E Konstantinov

Abstract

The impact of additional pulmonary forward flow (APF) through the pulmonary valve at the time of bidirectional cavopulmonary shunt (BCPS) is unknown. Between 2000 and 2010, 276 patients had BCPS and 126 of them were selected, including 60 patients with APF via pulmonary valve and 66 patients, in whom the pulmonary valve was closed. We compared the length of hospital stay and duration of pleural drainage at BCPS and Fontan operations. We also compared the number of surgical interventions before BCPS, the number of operations between BCPS and Fontan operation, Nakata index prior to Fontan operation, grade of atrioventricular valve regurgitation (AVVR), and oxygen saturations prior to Fontan operation. Prior to BCPS, 20% (12 of 60) of patients with APF and none without APF had pulmonary artery (PA) banding. More patients without APF had systemic-to-PA shunts (p < 0.01). Fontan operation was completed in 58% (35 of 60) of patients with APF and in 68% (45 of 66) of patients without APF (p = 0.34). There was no difference in the length of hospital stay or duration of pleural drainage at BCPS. No significant difference was observed in the number of surgical procedures between BCPS and Fontan operation, grade of AVVR or oxygen saturati...Continue Reading

References

Mar 1, 1996·The Annals of Thoracic Surgery·K MiyajiT Isoda
Sep 2, 1998·The Annals of Thoracic Surgery·D B McElhinneyV M Reddy
May 30, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Enrique RuizChristian Brizard
Jan 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Sunita J FernsMichel N Ilbawi
May 3, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Qiang ChenAndrew J Parry
Jan 6, 2015·The Annals of Thoracic Surgery·Koichi SughimotoYves d'Udekem

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Citations

Jan 18, 2017·Interactive Cardiovascular and Thoracic Surgery·Nataliya R NichayAlexander M Karaskov
Oct 4, 2018·Congenital Heart Disease·Martin A Chacon-PortilloCarlos M Mery
Oct 1, 2020·Journal of Cardiothoracic Surgery·Ryosuke KowatariIkuo Fukuda
Feb 23, 2021·The Journal of Thoracic and Cardiovascular Surgery·Jae Suk BaekYoung-Hwue Kim
Mar 17, 2021·The Journal of Thoracic and Cardiovascular Surgery·Christian P Brizard
Sep 2, 2018·The Annals of Thoracic Surgery·Jerome SoquetYves d'Udekem

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