Long-term results of additional pulmonary blood flow with bidirectional cavopulmonary shunt
نویسندگان
چکیده
منابع مشابه
Bidirectional cavopulmonary shunt with additional pulmonary blood flow.
There are some controversies regarding the usefulness of leaving additional pulmonary blood flow when establishing a bidirectional cavopulmonary shunt. From April 2002 to September 2008, 13 patients (mean age, 24 +/- 16 months) underwent a bidirectional cavopulmonary shunt procedure with fine adjustment of additional pulmonary blood flow, as an intermediate step before the Fontan operation. The...
متن کاملPulmonary blood flow after total cavopulmonary shunt.
The pattern of pulmonary blood flow was studied in three patients after a total cavopulmonary shunt procedure. Doppler studies showed a phasic pattern of flow which varied with the respiratory cycle. Pulmonary blood flow was increased with normal inspiration, and was much augmented by the Mueller manoeuvre. This suggests that flow was occurring when a negative intrathoracic pressure was generat...
متن کاملBidirectional cavopulmonary connection without additional pulmonary blood flow in patients below the age of 6 months.
OBJECTIVE The bidirectional cavopulmonary connection (BCPC) has shown excellent results as an intermediate step towards permanent palliation in functional single ventricle morphology. The optimal timing of the BCPC, though, remains unclear. This investigation focuses on results in a subgroup of patients under 6 months of age. METHODS Between 2001 and 2006, 124 patients received a BCPC followe...
متن کاملBidirectional cavopulmonary connection without additional pulmonary blood flow as an ideal staging for functional univentricular hearts.
OBJECTIVE Our institutional policy differs from others substantially, as we never leave any additional blood flow at the time of performing bidirectional cavopulmonary connection (BCPC). The aim was to evaluate the influence of this strategy on hemodynamics and pulmonary artery development. METHODS Between 2001 and 2006 a total of 124 patients had completion to a total cavopulmonary connectio...
متن کاملResults of additional pulsatile pulmonary blood flow with bidirectional glenn cavopulmonary anastomosis: positive effect on main pulmonary artery growth and less need for fontan conversion.
BACKGROUND Additional antegrade pulsatile pulmonary blood flow obtained by leaving the main pulmonary artery patent during bidirectional cavopulmonary shunt has been shown to give additional benefits to the bidirectional Glenn cavopulmonary anastomosis. We retrospectively evaluated our 20-patient pulsatile Glenn series in order to find out whether these salutary effects were valid or not. MET...
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ژورنال
عنوان ژورنال: Journal of Cardiothoracic Surgery
سال: 2020
ISSN: 1749-8090
DOI: 10.1186/s13019-020-01335-4