PMID: 7539607Jun 1, 1995Paper

Univentricular heart with systemic outflow obstruction: palliation by primary Damus procedure

The Annals of Thoracic Surgery
W J BrawnN Sreeram

Abstract

In 24 consecutive infants (19 male and 5 female) with complex forms of single-ventricle physiology and systemic outflow obstruction, a modified Damus operation without the use of exogenous material was undertaken in conjunction with creation of an aortopulmonary shunt 3.5 mm in diameter. The median age at operation was 6 days (range, 1 to 170 days) and the median weight, 3.4 kg (range, 2.6 to 4.6 kg). There were nine early deaths. All 15 survivors (median follow-up, 6.5 months) were clinically well without major systemic ventricular dysfunction or atrioventricular or arterial valve regurgitation. Ten of them have undergone a superior vena cava-pulmonary shunt (one death), and 1 has required patch angioplasty of the aortic arch and innominate artery with revision of the aortopulmonary shunt. The 4 other survivors are awaiting a cavopulmonary shunt. Univariate analysis yielded the chronologic rank for an individual procedure (higher risk of death early in the series), presence of aortic arch atresia, and presence or absence of transposition of the great arteries as predictors of death. This aggressive surgical approach provides excellent early palliation, and because the operation prevents abnormal ventricular hypertrophy from pr...Continue Reading

References

Nov 1, 1990·The Annals of Thoracic Surgery·C I TchervenkovA R Dobell
Aug 1, 1987·Journal of the American College of Cardiology·A RothmanA R Castaneda
May 1, 1985·British Heart Journal·E Juaneda, S G Haworth
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Jan 6, 1983·The New England Journal of Medicine·W I NorwoodD D Hansen
Jul 1, 1993·The Annals of Thoracic Surgery·R N GatesR G Williams

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Citations

Sep 2, 1998·The Annals of Thoracic Surgery·R M Freedom
Apr 28, 1999·Pediatric Clinics of North America·J S TweddellK Mussatto
Apr 1, 2008·Radiology·Ana Maria GacaGeorge S Bisset
Oct 1, 2013·The Journal of Thoracic and Cardiovascular Surgery·Melissa G Y LeeYves d'Udekem
Jul 24, 2004·Seminars in Pediatric Surgery·Scott G Walker, Eckehard A Stuth
Jan 13, 2004·Journal of the American College of Cardiology·Yueh-Tze LanHillel Laks
Jun 5, 2021·The Annals of Thoracic Surgery·Takashi KidoMasamichi Ono

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