Document Detail


Early results of single-stage biventricular repair of severe aortic hypoplasia or atresia with ventricular septal defect and normal left ventricle.
MedLine Citation:
PMID:  16872947     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Biventricular repair of aortic atresia (or severe aortic hypoplasia) is possible in the presence of a ventricular septal defect and normal left ventricle. We considered whether primary biventricular repair was a safe alternative in all cases, even in the presence of interrupted aortic arch. METHODS: This was a retrospective analysis of patients who underwent primary biventricular repair consisting of a combination Norwood-type reconstruction of the aortic arch, baffle of the left ventricle to both semilunar roots, and conduit placement from the right ventricle to pulmonary arteries. RESULTS: Between January 1995 and January 2005, a total of 21 patients underwent primary biventricular repair at a median age of 5 days and a median weight of 3.0 kg. Aortic atresia was present in 7 and aortic stenosis in 14; 6 had interrupted aortic arch. All patients with aortic stenosis had annular diameters 3 mm or smaller. Median circulatory arrest time was 55 minutes, aortic crossclamp time was 56 minutes, and total support time was 99 minutes. In-hospital survival was 100%. Postoperative echocardiography in 19 patients demonstrated no significant outflow tract obstruction. Total stay was a median of 17 days. At midterm follow-up, there has been 1 late death, and reoperation has been necessary in 10 cases. CONCLUSION: Primary biventricular repair is a safe alternative to staged repair in all cases of aortic hypoplasia with ventricular septal defect and normal left ventricle.
Authors:
Peter J Gruber; Stephanie Fuller; Kathryn M Cleaver; Ibrahim Abdullah; Stephen B Gruber; Susan C Nicolson; J William Gaynor; Gil Wernovsky; Thomas L Spray
Related Documents :
18049857 - Total arch replacement through re-median sternotomy after coronary surgery.
10221397 - Type a aortic dissection involving a right-sided aortic arch.
3791607 - Pathogenesis of persistent truncus arteriosus and dextroposed aorta in the chick embryo...
10758387 - Surgical management of atherosclerotic aortic arch aneurysms using selective cerebral p...
6461227 - Percutaneous transluminal angioplasty of the brachiocephalic arteries.
7982347 - Unusual forms of pulmonary embolism.
Publication Detail:
Type:  Journal Article     Date:  2006-06-30
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  132     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-28     Completed Date:  2006-09-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  260-3     Citation Subset:  AIM; IM    
Affiliation:
Pediatric Cardiothoracic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pa 19104, USA. gruber@email.chop.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aorta, Thoracic / pathology,  surgery*
Aortic Valve Stenosis / epidemiology,  surgery*
Cardiac Surgical Procedures / methods*
Cardiopulmonary Bypass
Female
Heart Septal Defects, Ventricular / epidemiology*,  surgery*
Heart Ventricles / surgery
Humans
Hypoplastic Left Heart Syndrome / epidemiology*,  surgery*
Infant
Infant, Newborn
Length of Stay
Male
Retrospective Studies
Suture Techniques
Treatment Outcome

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


Previous Document:  Effects of single-ventricle physiology with aortopulmonary shunt on regional myocardial blood flow i...
Next Document:  The rapid prototyping of anatomic models in pulmonary atresia.