PMID: 7547023Sep 1, 1995Paper

Late systemic desaturation after total cavopulmonary shunt operations

British Heart Journal
O StümperJ V De Giovanni

Abstract

To assess the medium-term results of total cavopulmonary shunt operations in children with left atrial isomerism, interrupted inferior vena cava, and complex congenital heart defects. Creation of a total cavopulmonary shunt provides very good interim palliation for children with interrupted inferior vena cava and complex congenital heart disease; however, longer term results after this operation have not been reported. Detailed follow up of six children who underwent creation of a total cavopulmonary shunt at a tertiary referral centre. There were no early or late deaths. Oxygen saturations at discharge ranged from 89% to 92% (mean 90%). At last follow up (mean 4.7 years) saturations at rest ranged from 73% to 81% (mean 77%) (P < 0.05). All patients underwent exercise stress testing. At peak exercise oxygen saturations ranged from 62% to 87% (mean 71.5%) and during recovery from 68% to 85% (mean 78%). Cardiac catheterisation was performed in five patients with saturations of less than 80% at rest or peak exercise. No patient had pulmonary arteriovenous fistula. Systemic venous to hepatic venous collaterals were documented in four patients. These were localised below the diaphragm in three and above the diaphragm in one patient....Continue Reading

References

Aug 1, 1972·The American Journal of Cardiology·L M BargeronP B Deverall
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Citations

Jun 15, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alaa-Basiouni S MahmoudGhassan M Baslaim
Jan 13, 2001·The Annals of Thoracic Surgery·S J KimS H Kim
Sep 20, 2002·The Annals of Thoracic Surgery·Renate KaulitzGerd Hausdorf
Aug 26, 1998·Journal of the American College of Cardiology·A G MageeR M Freedom
Aug 19, 2000·Cardiology in the Young·R M FreedomW G Williams
Jun 23, 2005·Archives of Disease in Childhood·R Kaulitz, M Hofbeck
Sep 29, 2006·Heart·Christoph H KiesewetterGruschen R Veldtman
Sep 10, 2008·Journal of Cardiac Surgery·Takaya HoashiYoshiki Sawa
Apr 28, 2004·The Annals of Thoracic Surgery·Hajime IchikawaHikaru Matsuda
Jan 10, 2014·World Journal for Pediatric & Congenital Heart Surgery·Muhammed Riyas K RahmathMuhammad Dilawar
Jul 7, 2011·Korean Circulation Journal·Soo-Jin Kim
Nov 8, 2003·Journal of Interventional Cardiology·James Y SimJohn W Moore

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