Staged surgical management of pulmonary atresia with intact ventricular septum

Autor:	David I. Hamilton, Mark J. Jackson, Sergio A. Battistessa, Roxane McKay, Raman G. Patel
Rok vydání:	1992
Předmět:	Aorticopulmonary septum medicine.medical_specialty business.industry Internal medicine Pediatrics Perinatology and Child Health Cardiology Medicine General Medicine Cardiology and Cardiovascular Medicine business Pulmonary atresia medicine.disease Hypoplastic right heart syndrome
Zdroj:	Cardiology in the Young. 2:395-402
ISSN:	1467-1107 1047-9511
Popis:	Review of an institutional experience of 81 patients admitted to the Royal Liverpool Children's Hospital between January 1958 and December 1990 with a diagnosis of pulmonary atresia and intact ventricular septum revealed that successful definitive repair was achieved in about one-third of those who underwent surgical treatment. A three-stage protocol, consisting of a systemic-pulmonary anastomosis followed by right ventricular decompression on cardiopulmonary bypass and subsequent separation of the systemic and pulmonary circulations, facilitated a biventricular correction but rarely led to a successful Fontan procedure. Both functional class and probability of survival improved after each stage of management.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::c5f19d4a1bff77f8994a18d6c6ec5f88 https://doi.org/10.1017/s1047951100008015 Zobrazit plný text záznamu