Fontan completion rate and outcomes after bidirectional cavo-pulmonary shunt☆

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منابع مشابه

Fontan completion rate and outcomes after bidirectional cavo-pulmonary shunt.

OBJECTIVE To determine outcomes of patients undergoing a bidirectional cavo-pulmonary shunt (BCPS) in the Fontan era. METHODS From 1990 to 2000, 212 patients underwent a BCPS in a single institution at a mean age of 2.6+/-5 years. RESULTS Hospital mortality was 6% (13 patients). Five patients were lost to follow-up (3%). After a mean of 9+/-4 years, 15 patients had not yet been referred for...

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Aortopulmonary collaterals after bidirectional cavopulmonary connection or Fontan completion: quantification with MRI.

BACKGROUND Aortopulmonary collaterals (APCs) have been associated with increased morbidity after the Fontan operation. We aimed to quantify APC flow after bidirectional cavopulmonary connections and Fontan completions, using phase-contrast MRI, and to identify risk factors for the development of APCs. METHODS AND RESULTS APC blood flow was quantifiable in 24 of 36 retrospectively analyzed MRI...

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[Pulmonary thromboembolism after Fontan operation].

The fatal outcome in an eleven-year-old girl, one month after an extra-cardiac Fontan operation is reported. She was diagnosed with tricuspid atresia and had a Blalock Taussig shunt and a bidirectional Glenn procedure. The Fontan operation was performed using a Dacron conduit, fenestrated with a 6 mm Goretex tube. The first week after the operation she received low molecular weight heparin, the...

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Cavo-pulmonary anastomosis.

A direct anastomosis between the superior vena cava and the right pulmonary artery will allow some 40% of the total venous return to pass directly through the lungs without any ventricular action, and for the purpose of providing palliative treatment for the above conditions might offer some advantages over the systemic-pulmonary shunts. The operation can be performed with relative ease in smal...

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Fontan completion without surgery.

OBJECTIVE There are several modifications introduced in the preparation for a subsequent non-surgical transcatheter completion of the Fontan procedure. We report our experience with one type of the modification and the short-term results following its implementation. METHODS During bidirectional cavopulmonary connection (BCPC) an intra-atrial lateral tunnel is additionally created, as intende...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2010

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2010.01.031