Impact of Veno-venous Collaterals on Outcome after the Total Cavopulmonary Connection.

Autor: Cong, M.B.H. Nguyen, Osawa, T., Schaeffer, T., Heinisch, P.P., Hager, A., Ewert, P., Hörer, J., Ono, M.
Předmět:
Zdroj: Thoracic & Cardiovascular Surgeon; 2024 Supplement1, Vol. 72, pS1-S68, 68p
Abstrakt: This article, published in the journal Thoracic & Cardiovascular Surgeon, examines the impact of veno-venous collaterals (VVCs) on outcomes after total cavopulmonary connection (TCPC) in patients with univentricular heart. The study analyzed 635 patients who underwent TCPC between 1994 and 2022, excluding those who had undergone TCPC conversion from the classic Fontan procedure. The results showed that VVCs were found in 14.8% of patients, with no significant difference in incidence between the dominant right and left ventricle. The study found that VVCs did not impact survival after TCPC, but patients with VVCs had lower freedom from protein losing enteropathy/plastic bronchitis. Interventional closure of VVCs was performed in 9.6% of patients. Overall, the study highlights the prevalence and impact of VVCs after TCPC in patients with univentricular heart. [Extracted from the article]
Databáze: Complementary Index