| Pulmonary atresia with intact ventricular septum: long-term results of "one and a half ventricular repair". | |
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MedLine Citation:
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PMID: 8787477 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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K Miyaji; M Shimada; A Sekiguchi; A Ishizawa; T Isoda; M Tsunemoto |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 60 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1995 Dec |
Date Detail:
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Created Date: 1996-09-24 Completed Date: 1996-09-24 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1762-4 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiovascular Surgery, National Children's Hospital, Tokyo, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cardiac Surgical Procedures
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methods Child Child, Preschool Follow-Up Studies Heart Septum / pathology Heart Ventricles / pathology, surgery* Humans Infant Infant, Newborn Palliative Care Pulmonary Atresia / pathology, surgery* Tricuspid Valve / pathology |
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