Bidirectional cavopulmonary anastomosis
نویسندگان
چکیده
منابع مشابه
Bidirectional cavopulmonary anastomosis.
SLAVIK AND HIS COLLEAGUES 1 OFFER A THOUGHTful discussion of the subject of the bidirectional cavopulmonary anastomosis, and offer a useful review of the primary papers. The authors make the important point that these patients are not a homogeneous cohort. The argument about where to measure the pulmonary arteries is a bit academic, and the strengths and weaknesses of various methods have been ...
متن کاملBidirectional cavopulmonary anastomosis.
The Fontan operation has been used to palliate patients with a functional single ventricle. In many such patients the operative risk for a Fontan procedure is high. The bidirectional cavopulmonary anastomosis (BCPA) is a useful intermediate palliative procedure before Fontan correction. It may reduce the deleterious sequelae of chronic hypoxaemia and long-term ventricular overload, thus yieldin...
متن کاملBidirectional superior cavopulmonary anastomosis: how young is too young?
OBJECTIVE To define the lowest age at which the bidirectional superior cavopulmonary anastomosis can safely be used in infants with complex congenital heart defects. DESIGN A retrospective analysis of clinical, echocardiographic, haemodynamic, and angiographic data in four consecutive patients undergoing bidirectional superior cavopulmonary anastomosis below the age of 2 months. PATIENTS Be...
متن کاملTheoretical optimization of pulmonary-to-systemic flow ratio after a bidirectional cavopulmonary anastomosis.
A univentricle with parallel pulmonary and systemic circulations is inherently inefficient because mixing of pulmonary and systemic venous return occurs. Thus a cavopulmonary anastomosis is used as a staged palliative procedure to reduce volume overload in patients with cyanotic congenital heart disease. On the basis of oxygen uptake and consumption, an equation was derived that related cardiac...
متن کاملDiagnostic assessment before Fontan operation in patients with bidirectional cavopulmonary anastomosis: are noninvasive methods sufficient?
OBJECTIVES This study was designed to determine if a subset of patients who have undergone bidirectional cavopulmonary anastomosis could be identified in which catheterization was of little benefit before completion of the Fontan procedure. BACKGROUND Diagnostic evaluation before Fontan procedure has typically included cardiac catheterization. However, the overall management strategy for pati...
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ژورنال
عنوان ژورنال: Cardiology in the Young
سال: 1999
ISSN: 1047-9511,1467-1107
DOI: 10.1017/s1047951100007290