Fontan completion after Norwood with bidirectional Glenn shunt: their haemodynamics and pulmonary artery configuration
| Autor: | Satoshi Yasukochi, Yoshiyuki Maekawa, Yorikazu Harada, Kiyohiro Takigiku, Takahiko Sakamoto, Kentaro Umezu |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Heart Defects
Congenital Reoperation Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Palliative care medicine.medical_treatment Hemodynamics Blood Pressure Pulmonary Artery Fontan Procedure Norwood Procedures Hypoplastic left heart syndrome Fontan procedure Japan medicine.artery Internal medicine Humans Medicine Retrospective Studies business.industry Palliative Care Infant Newborn Infant Stroke Volume Original Articles Stroke volume medicine.disease Surgery Treatment Outcome Blood pressure Pulmonary artery Cardiology Norwood procedure Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 15:204-208 |
| ISSN: | 1569-9285 1569-9293 |
| DOI: | 10.1093/icvts/ivs138 |
| Popis: | OBJECTIVES We ranked the haemodynamics and pulmonary artery (PA) configurations of Norwood with bidirectional Glenn shunt (NW-G) patients among the other staged Fontan completion (conventional) patients in this study. METHODS Between August 2001 and April 2010, 91 consecutive patients completed staged Fontan operations. Among them, NW-G was performed in 11. RESULTS There was no operative or late death except in one case which resulted from a reoperation after Fontan completion. Although the age at bidirectional Glenn (BDG) and Fontan completion was younger in NW-G (4.2 vs. 10.9 months, P < 0.01, and 2.3 vs. 3.3 years, P < 0.01), the interval between BDG and Fontan completion was not significantly different in these groups (23.6 vs. 28.0 months, P = 0.71). On Fontan completion, the extracardiac conduit size was significantly different (16.4 vs. 17.7 mm, P < 0.01). However, the pulmonary artery size (PA index) and the PA pressure were not significantly different (165.4 vs. 205.1 mm(2)/m(2), P = 0.23, and 13.4 vs. 11.0 mmHg, P = 0.08). Particularly in hypoplastic left heart syndrome patients, the PA index was not significantly different between these groups (165.4 vs. 174.9 mm(2)/m(2), P = 0.59). CONCLUSIONS The NW-G patients could have a subsequent Fontan completion with good results. There was no significant difference with respect to Fontan completion. |
| Databáze: | OpenAIRE |
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