Document Detail

Total cavopulmonary connection for complicated congenital heart malformations.
MedLine Citation:
PMID:  8045749     Owner:  NLM     Status:  MEDLINE    
We reviewed our experience with 40 patients who had undergone total cavopulmonary connection during the past 3 years. Thirty-one patients had functional single ventricle, only 8 with tricuspid atresia; five had complex forms of double outlet right ventricle, and 4 complex A-V canal. Previous palliative procedures, mostly systemic-pulmonic shunts, were performed in 34 patients. Concomitant procedures, mainly reconstruction of distorted pulmonary arteries, were required in 18 patients. A subgroup of 14 high risk patients, who did not fulfil the classical Fontan criteria, underwent 4 mm fenestration of the intraatrial baffle. There were 3 (7.5%) early post-operative deaths that occurred in the higher risk group (fenestrated group). However, the remaining patients were all in functional class I or II. Total cavopulmonary connection provides reasonably good definitive palliation for patients with single ventricle physiology. Fenestration of the intraatrial baffle increases the number of candidates suitable for the Fontan procedure, although the exact inclusion criteria for these patients has yet to be defined.
E Snir; E Raanani; E Birk; B Zeevi; M Berant; B A Vidne
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Israel journal of medical sciences     Volume:  30     ISSN:  0021-2180     ISO Abbreviation:  Isr. J. Med. Sci.     Publication Date:  1994 Aug 
Date Detail:
Created Date:  1994-09-01     Completed Date:  1994-09-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0013105     Medline TA:  Isr J Med Sci     Country:  ISRAEL    
Other Details:
Languages:  eng     Pagination:  642-5     Citation Subset:  IM    
Department of Cardiothoracic Surgery, Children's Medical Center of Israel, Petah Tikva.
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MeSH Terms
Arteriovenous Shunt, Surgical
Child, Preschool
Heart Defects, Congenital / mortality,  physiopathology,  surgery*
Pulmonary Artery / surgery*
Retrospective Studies
Severity of Illness Index
Vena Cava, Superior / surgery*

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