PMID: 8604936Dec 1, 1995Paper

Total cavopulmonary anastomosis in patients less than three years of age

The Annals of Thoracic Surgery
R KaulitzH C Kallfelz

Abstract

As young age at modified Fontan operation was thought to be a preoperative risk factor for poorer survival, we studied early and intermediate outcome in our young patient group. Results in children less than 3 years of age (group I; n = 26; age range, 7 to 35 months) were compared with those in older patients (group II; n = 46; age range, 36 to 219 months). For both groups there was no significant difference with regard to preoperative pathology and hemodynamics. With an overall mortality of 9.7% (7/72) there was no significant difference for both groups. Group I (n = 23) and group II (n = 42) survivors did not differ with respect to early postoperative incidence of atrial dysrhythmias, duration and volume of pleural effusion, or incidence of reoperation. Results on intermediate follow-up (group I, 31 +/- 14 months; group II, 44 +/- 20 months) demonstrated a relatively low incidence of late atrial dysrhythmias (12.3%; 8/65). Late atrioventricular valve insufficiency was significantly more frequent in group I patients. With similar preoperative anatomic and hemodynamic parameters including 68% of patients with complex univentricular heart, total cavopulmonary anastomosis could be performed in patients less than 3 years of age wi...Continue Reading

References

Dec 11, 1992·Circulation·N D BridgesA R Castaneda
Feb 1, 1992·Circulation·D J DriscollG K Danielson
Feb 1, 1990·Journal of the American College of Cardiology·D A BartmusG K Danielson
May 1, 1990·Circulation·F FontanE H Blackstone
Dec 1, 1993·The Annals of Thoracic Surgery·A J ChinW I Norwood

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Citations

May 11, 2010·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Song FuSchranz Dietmar
Apr 29, 2011·The Annals of Thoracic Surgery·Michelle C WallaceSara K Pasquali
Nov 24, 1999·The American Journal of Cardiology·N Heragu, L Mahony
Jun 3, 2004·The Journal of Thoracic and Cardiovascular Surgery·Anuja GuptaVaughn Starnes
Nov 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Masamichi OnoThomas Breymann
Dec 13, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·K YamadaE Baudet

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