| Total cavopulmonary connection for complicated congenital heart malformations. | |
MedLine Citation:
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PMID: 8045749 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
Authors:
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E Snir; E Raanani; E Birk; B Zeevi; M Berant; B A Vidne |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Israel journal of medical sciences Volume: 30 ISSN: 0021-2180 ISO Abbreviation: Isr. J. Med. Sci. Publication Date: 1994 Aug |
Date Detail:
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Created Date: 1994-09-01 Completed Date: 1994-09-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0013105 Medline TA: Isr J Med Sci Country: ISRAEL |
Other Details:
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Languages: eng Pagination: 642-5 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, Children's Medical Center of Israel, Petah Tikva. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arteriovenous Shunt, Surgical Child Child, Preschool Heart Defects, Congenital / mortality, physiopathology, surgery* Humans Pulmonary Artery / surgery* Retrospective Studies Severity of Illness Index Vena Cava, Superior / surgery* |
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