| Autor: |
Willman, Vallee L., Barner, Hendrick B., Mudd, J. Gerard, Fagan, Leonard F., Kaiser, George C. |
| Zdroj: |
Journal of Thoracic and Cardiovascular Surgery; March 1974, Vol. 67 Issue: 3 p380-386, 7p |
| Abstrakt: |
Superior vena cava-right pulmonary artery anastomosis has been used to palliate cyanotic congenital heart disease in 42 patients with the following anomalies: tricuspid atresia, 19 cases; transposition of the great vessels, 11; pulmonary atresia, 6; truncus arteriosus, 3; Epstein’s malformation, 2; and atrioventricular canal with pulmonary stenosis, 1 case. Twelve of 13 operative deaths occurred in the 24 infants younger than 6 months of age. Five of 6 infants less than 1 month old died after the operation. Six late deaths were distributed among all age groups and all cardiac lesions. Although survivors were improved clinically, there is a gradual progression of cyanosis and rise of the hemoglobin level. It is clear that cava-pulmonary anastomosis should not be done in the first month of life. An ascending aorta-right pulmonary artery shunt is preferable, even in the first 6 months if the pulmonary artery is small. The cava-pulmonary anastomosis enlarges as the child grows, but increasing venous collateral may reduce its effectiveness. When complemented with a systemic-pulmonary shunt it has the potential for long-term palliation of uncorrectable congenital lesions. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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