Document Detail

Experience with the Damus-Kaye-Stansel procedure for children with Taussig-Bing hearts or univentricular hearts with subaortic stenosis.
MedLine Citation:
PMID:  7693366     Owner:  NLM     Status:  MEDLINE    
Anastomosis of the pulmonary artery to the ascending aorta is the essence of a technique for repair of complete transposition proposed by Damus, Kaye, and Stansel. Our Institutional experience with the Damus-Kaye-Stansel procedure (DKS) is limited to 9 children with double-outlet right ventricle and 38 with univentricular heart plus subaortic stenosis. Thirty-eight children (81%) survived the DKS procedure, and there were three late deaths during the mean follow-up of 3.1 years. Five-year survival is 72% (+/- 8%). All six children surviving a DKS and biventricular repair of double-outlet right ventricle have required conduit replacement at a mean interval of 46 months. In the children with univentricular heart, relief of subaortic stenosis with the DKS was successful in all except two. The late function of the semilunar valves is of concern, as 36% of the aortic and 52% of the pulmonary valves have some degree of incompetence.
R C Lui; W G Williams; G A Trusler; R M Freedom; J G Coles; I M Rebeyka; J Smallhorn
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  88     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1993-11-29     Completed Date:  1993-11-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  II170-6     Citation Subset:  AIM; IM    
Division of Cardiovascular Surgery and Cardiology, Hospital for Sick Children, University of Toronto, Ontario, Canada.
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MeSH Terms
Aorta / surgery*
Blood Vessel Prosthesis
Cardiomyopathy, Hypertrophic / mortality,  surgery*
Child, Preschool
Double Outlet Right Ventricle / mortality,  surgery*
Follow-Up Studies
Heart Defects, Congenital / mortality,  surgery*
Palliative Care / methods*
Postoperative Complications / epidemiology
Pulmonary Artery / surgery*
Survival Analysis

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

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