Document Detail


Bidirectional cavopulmonary shunt with additional pulmonary blood flow.
MedLine Citation:
PMID:  20304847     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There are some controversies regarding the usefulness of leaving additional pulmonary blood flow when establishing a bidirectional cavopulmonary shunt. From April 2002 to September 2008, 13 patients (mean age, 24 +/- 16 months) underwent a bidirectional cavopulmonary shunt procedure with fine adjustment of additional pulmonary blood flow, as an intermediate step before the Fontan operation. There were no hospital deaths. Modified Blalock-Taussig shunts were left during the bidirectional cavopulmonary shunt operation in 7 patients, and pulmonary bands were tightened in 4. The main pulmonary artery with a previous pulmonary band was left open in one case. Oxygen saturation increased from 74.5% +/- 7.4% to 84.6% +/- 1.9% after the operation, cardiothoracic ratio decreased from 55.9% +/- 6.1% to 53.2% +/- 3.4%, Left ventricular end-diastolic pressure decreased from 11.0 +/- 2.6 to 7.8 +/- 3.0 mm Hg, and mean pulmonary arterial pressure from 14.7 +/- 7.5 to 10.2 +/- 3.1 mm Hg. Pulmonary artery index did not change significantly. In our experience, additional pulmonary blood flow with adjustment in each patient at the time of shunt construction was an excellent temporary palliation prior to the Fontan operation.
Authors:
Yasuyuki Suzuki; Sanae Yamauchi; Kazuyuki Daitoku; Kozo Fukui; Ikuo Fukuda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  18     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-22     Completed Date:  2010-06-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  135-40     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan. ysuzuki@cc.hirosaki-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Double Outlet Right Ventricle / surgery*
Female
Fontan Procedure
Heart Bypass, Right / methods*
Heart Ventricles / abnormalities*
Humans
Male
Pulmonary Circulation / physiology*
Retrospective Studies

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


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