Document Detail


Additional pulmonary blood flow has no adverse effect on outcome after TCPC.
MedLine Citation:
PMID:  15470609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Use of additional sources of pulmonary blood flow (APBF) with bidirectional cavopulmonary anastomosis (BDG) and total cavopulmonary connection (TCPC) remains controversial. We have therefore assessed the effects of APBF on BDG and TCPC outcome. METHODS: From 1996 to 2000, 106 patients underwent BDG, either isolated (group 1, n = 54), or with APBF via pulmonary artery (PA) (group 2, n = 30), or Blalock-Taussig shunt (BTS) (group 3, n = 22) with 28 patients completed by TCPC. RESULTS: After BDG low output syndrome was more frequent in group 2 and less in 3 ( p = 0.01), whereas superior cava syndrome was again more common in group 2 and less in groups 1 and 3 ( p < 0.05) than expected. Mortality and complications were similar after TCPC in all groups. Oxygen saturation (SaO (2)) was lower without than with APBF ( p < 0.002) after BDG and in group 3 than in group 2 after TCPC ( p < 0.05). Repeated measures ANOVA showed no effect of APBF on SaO (2), PA pressures, fractional shortening, end-diastolic pressure and AV-valve function. CONCLUSIONS: Early after BDG, APBF via PA presents different difficulties than APBF via BTS. However, BDG and TCPC outcomes are not affected by the presence or absence of APBF.
Authors:
P A Berdat; E Belli; F Lacour-Gayet; C Planché; A Serraf
Related Documents :
2153859 - Cardiac function and morphology of hanford miniature swine and yucatan miniature and mi...
11192189 - Postovulatory effect of repeated intravenous administration of acth on the contractile ...
24365919 - X-ray reflectivity measurements of liquid/solid interfaces under high hydrostatic press...
1488579 - Role of angiotensin ii in the antinatriuresis that follows acute volume depletion.
8857679 - Elevated circulating levels of von willebrand factor and d-dimer in patients with heart...
1531789 - The rate of increase in hematocrit, humoral vasoactive substances and blood pressure ch...
3953839 - Preload reserve and mechanisms of afterload mismatch in normal conscious dog.
10321439 - Systematic errors in estimating mean blood pressure from finger blood pressure measurem...
23685919 - The effect of seat shape on the risk of pressure ulcers using discomfort and interface ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  52     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-07     Completed Date:  2005-02-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  280-6     Citation Subset:  IM    
Affiliation:
Clinic for Cardiovascular Surgery, University Hospital, Berne, Switzerland. pascal.berdat@insel.ch
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Blood Vessel Prosthesis Implantation
Child
Child, Preschool
Constriction, Pathologic
Heart Bypass, Right / methods*
Heart Defects, Congenital / surgery*
Heart Ventricles / abnormalities
Humans
Infant
Oxygen / blood
Pulmonary Artery / pathology,  physiopathology
Pulmonary Circulation*
Retrospective Studies
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pre- and postoperative assessment of left ventricular function by magnetic resonance imaging and 2-D...
Next Document:  Determination of the coronary flow reserve of the LAD in patients with HOCM using the intracoronary ...