| Experience with the Damus-Kaye-Stansel procedure for children with Taussig-Bing hearts or univentricular hearts with subaortic stenosis. | |
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MedLine Citation:
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PMID: 7693366 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article |
Journal Detail:
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Title: Circulation Volume: 88 ISSN: 0009-7322 ISO Abbreviation: Circulation Publication Date: 1993 Nov |
Date Detail:
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Created Date: 1993-11-29 Completed Date: 1993-11-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: II170-6 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiovascular Surgery and Cardiology, Hospital for Sick Children, University of Toronto, Ontario, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aorta
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surgery* Blood Vessel Prosthesis Cardiomyopathy, Hypertrophic / mortality, surgery* Child, Preschool Double Outlet Right Ventricle / mortality, surgery* Female Follow-Up Studies Heart Defects, Congenital / mortality, surgery* Humans Male 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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