Document Detail


Early experience in the surgical treatment of the univentricular heart.
MedLine Citation:
PMID:  8138278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eighteen patients under went surgical treatment of univentricular hearts between April 1989 till October 1992. All 18 had palliative operations in the form of: a modified Blalock-Taussig shunt (5), pulmonary artery banding (2), bidirectional Glenn shunts (2), conventional Fontan repair (1) and total cavo pulmonary connection (8). There were 11 males and 7 females. The mean age at operation was 4.5 years (range, 1 month to 24 years). The average weight at operation was 12.2 kg (range 2 to 43 kg). Associated anomalies included: transposition of the great arteries (4), pulmonary stenosis (9), pulmonary atresia (1), mitral atresia (1), atrioventricular septal defect (1) and patent ductus arteriosus (3). There were no intra operative deaths. There were 5 early deaths (27.7%). Causes of death were due to: blockage of a modified Blalock-Taussig shunt (1), respiratory failure (1), persistent ventricular arrhythmias (1) and low output syndrome (2). Treatment in the form of a systemic to pulmonary arterial shunt or an operation based on the Fontan principle may offer an initial palliative or definitive correction for this condition.
Authors:
I A Hamid; M Jothi; G Ranganathan; S Rajan; K M Cherian
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian heart journal     Volume:  45     ISSN:  0019-4832     ISO Abbreviation:  Indian Heart J     Publication Date:    1993 Jul-Aug
Date Detail:
Created Date:  1994-04-28     Completed Date:  1994-04-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0374675     Medline TA:  Indian Heart J     Country:  INDIA    
Other Details:
Languages:  eng     Pagination:  273-6     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Institute of Cardiovascular Diseases, Madras.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cardiac Surgical Procedures / mortality
Child
Child, Preschool
Female
Heart Defects, Congenital / mortality,  surgery
Heart Ventricles / abnormalities*,  surgery
Humans
Infant
Male
Treatment Outcome

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


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