Document Detail

Pulmonary atresia with intact ventricular septum: long-term results of "one and a half ventricular repair".
MedLine Citation:
PMID:  8787477     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Between 1982 and 1984, we successfully performed "one and a half ventricular repair" using a Glenn shunt for 3 patients with pulmonary atresia with intact ventricular septum. Here we review the 10-year follow-up results. METHODS: In these patients, the preoperative Z scores of the tricuspid valve diameters ranged from -5.2 to -6.5. Right ventricular outflow tract reconstruction combined with a Glenn shunt were performed in all patients. Cardiac catheterization was done at least 10 years post-operatively. RESULTS: All 3 patients have maintained New York Heart Association functional class I status for more than 10 years. Angiography in 2 patients confirms sufficient left pulmonary artery pressure with pulsatile blood flow and good right ventricular contraction. A pulmonary arteriovenous fistula has developed in 1 patient. CONCLUSIONS: Although the lower limits of the tricuspid valve diameter for "one and a half ventricular repair" using a cavopulmonary shunt have not yet been determined, we successfully performed this procedure in 3 patients with severely hypoplastic right ventricles and tricuspid valve diameter Z scores of less than -5.0. The results up to 10 years postoperatively are acceptable.
K Miyaji; M Shimada; A Sekiguchi; A Ishizawa; T Isoda; M Tsunemoto
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  60     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-09-24     Completed Date:  1996-09-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1762-4     Citation Subset:  AIM; IM    
Department of Cardiovascular Surgery, National Children's Hospital, Tokyo, Japan.
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MeSH Terms
Cardiac Surgical Procedures / methods
Child, Preschool
Follow-Up Studies
Heart Septum / pathology
Heart Ventricles / pathology,  surgery*
Infant, Newborn
Palliative Care
Pulmonary Atresia / pathology,  surgery*
Tricuspid Valve / pathology

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