Document Detail

Conversion to total cavopulmonary connection after failed one and one-half ventricular repair.
MedLine Citation:
PMID:  17643663     Owner:  NLM     Status:  MEDLINE    
In 3 patients previously undergoing one and one-half ventricular repair, right ventricular dysfunction progressed for more than 10 years. Their clinical features resembled those seen in patients undergoing the atriopulmonary Fontan procedure, and reoperation was carried out for conversion to total cavopulmonary connection. Hemodynamics improved subsequent to the circulatory renewal. In 2 patients having atrial arrhythmia before conversion, the resected right atrial wall illustrated grossly abnormal histopathology. These patients suffered from persistent sinus nodal dysfunction and eventually needed pacemaker implantation. The third patient died of sepsis 4 months later.
Hideki Uemura; Toshikatsu Yagihara; Iki Adachi; Koji Kagisaki; Fumiaki Shikata
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  84     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-07-23     Completed Date:  2007-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  666-8     Citation Subset:  AIM; IM    
Department of Cardiothoracic Surgery, Royal Brompton Hospital, London, United Kingdom.
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MeSH Terms
Anastomosis, Surgical*
Child, Preschool
Fatal Outcome
Follow-Up Studies
Fontan Procedure*
Heart Ventricles / surgery*
Pacemaker, Artificial
Pulmonary Artery / surgery*
Treatment Outcome
Venae Cavae / surgery*

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

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