Short and long-term outcomes for bidirectional glenn procedure performed with and without cardiopulmonary bypass

The Annals of Thoracic Surgery
Damien J LaParJames J Gangemi

Abstract

The bidirectional Glenn (BDG) procedure is most commonly used as staged palliation for complex cyanotic congenital heart defects. The benefits of a BDG procedure without the use of cardiopulmonary bypass (CPB) remain mixed within reported series. The purpose of this study was to compare short- and long-term outcomes for performance of a BDG procedure with and without the use of CPB. From 2001 to 2010, 106 patients underwent a BDG procedure. Patients were stratified into CPB (n = 72; age = 202 days) and non-CPB (n = 34; age = 182 days) groups. Primary outcomes included operative mortality and postoperative complications as well as differences in long-term Kaplan-Meier survival. Median follow-up was 30 months. Preoperative patient characteristics were similar among patients despite the use of CPB. The most frequent indications for a BDG procedure were hypoplastic left heart syndrome (HLHS) (35.8%) and tricuspid atresia (TA) (17.9%). Median perfusion time was 73 minutes for CPB patients. Overall mortality was 0.9% and no deaths occurred among non-CPB patients (0.0% versus 1.4%; p > 0.99). Similarly, no significant differences existed between non-CPB patients and CPB patients with respect to overall complication rates (11.8% versus...Continue Reading

References

May 1, 1997·Journal of the American College of Cardiology·V M ReddyF L Hanley
Jan 22, 1998·The Annals of Thoracic Surgery·R A RodriguezN A Weerasena
Jul 3, 1999·The Annals of Thoracic Surgery·K S MurthyK M Cherian
Jul 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·M JahangiriC Lincoln
Mar 1, 2000·The Journal of Thoracic and Cardiovascular Surgery·R A RodriguezG Cornel
Mar 31, 2004·The Journal of Thoracic and Cardiovascular Surgery·Robert D B JaquissJames S Tweddell
Apr 6, 2004·The Annals of Thoracic Surgery·Jinfen LiuWenxiang Ding
Jun 24, 2004·Asian Cardiovascular & Thoracic Annals·Xin-Jin LuoYing-Long Liu
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Syed Tarique HussainSanjiv Sharma
Nov 26, 2008·The Journal of Thoracic and Cardiovascular Surgery·Brian E KogonKirk R Kanter

❮ Previous
Next ❯

Citations

Oct 1, 2013·The Journal of Thoracic and Cardiovascular Surgery·Steven M SchwartzUNKNOWN Pediatric Heart Network Investigators
Jul 9, 2014·The Heart Surgery Forum·Murat UgurlucanMurat Basaran
Mar 23, 2017·World Journal for Pediatric & Congenital Heart Surgery·James M MezaUNKNOWN Congenital Heart Surgeons’ Society
Jun 25, 2014·World Journal for Pediatric & Congenital Heart Surgery·Richard D MainwaringFrank L Hanley
Feb 15, 2019·Pediatric Blood & Cancer·Alexander A BoucherLori Luchtman-Jones
Dec 4, 2017·Critical Care Nurse·Cecilia St George-HyslopLinda G Fazari
Apr 11, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Onur S GokselEnver Dayioglu
Sep 1, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Rupesh KumarBanashree Mandal
Jun 6, 2018·Journal of Cardiovascular Development and Disease·Gerald D BuckbergMladen J Kocica
Jul 14, 2018·F1000Research·Jelle P G van der VenWillem A Helbing
Nov 1, 2020·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Aritra MukherjiAmitabha Chattopadhyay
Feb 15, 2021·The Journal of Thoracic and Cardiovascular Surgery·Kendall M LawrenceChristopher E Mascio
Jun 7, 2021·Journal of Cardiac Surgery·Ranajit B NaikSunil Sharma
May 29, 2021·The Journal of Thoracic and Cardiovascular Surgery·Connor P CallahanUNKNOWN Congenital Heart Surgeons' Society Tricuspid Atresia Working Group

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

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.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

© 2021 Meta ULC. All rights reserved