Bidirectional cavopulmonary anastomosis with additional pulmonary blood flow: good or bad pre-Fontan strategy
نویسندگان
چکیده
منابع مشابه
Bidirectional cavopulmonary shunt with additional pulmonary blood flow.
There are some controversies regarding the usefulness of leaving additional pulmonary blood flow when establishing a bidirectional cavopulmonary shunt. From April 2002 to September 2008, 13 patients (mean age, 24 +/- 16 months) underwent a bidirectional cavopulmonary shunt procedure with fine adjustment of additional pulmonary blood flow, as an intermediate step before the Fontan operation. The...
متن کاملResults of additional pulsatile pulmonary blood flow with bidirectional glenn cavopulmonary anastomosis: positive effect on main pulmonary artery growth and less need for fontan conversion.
BACKGROUND Additional antegrade pulsatile pulmonary blood flow obtained by leaving the main pulmonary artery patent during bidirectional cavopulmonary shunt has been shown to give additional benefits to the bidirectional Glenn cavopulmonary anastomosis. We retrospectively evaluated our 20-patient pulsatile Glenn series in order to find out whether these salutary effects were valid or not. MET...
متن کاملPulmonary vein flow pattern in patients with bidirectional cavopulmonary connection or Fontan circuit
Background Typical flow velocities in the extraparenchymal pulmonary veins demonstrate two major antegrade flow waves: a biphasic systolic wave (S1 and S2) and a monophasic early diastolic wave (D) (Figure 1). There is often flow reversal during atrial systole (a). There is agreement that the forward diastolic pulmonary vein flow wave is caused by left ventricular relaxation and opening of the ...
متن کاملBidirectional cavopulmonary anastomosis.
SLAVIK AND HIS COLLEAGUES 1 OFFER A THOUGHTful discussion of the subject of the bidirectional cavopulmonary anastomosis, and offer a useful review of the primary papers. The authors make the important point that these patients are not a homogeneous cohort. The argument about where to measure the pulmonary arteries is a bit academic, and the strengths and weaknesses of various methods have been ...
متن کاملBidirectional cavopulmonary anastomosis.
The Fontan operation has been used to palliate patients with a functional single ventricle. In many such patients the operative risk for a Fontan procedure is high. The bidirectional cavopulmonary anastomosis (BCPA) is a useful intermediate palliative procedure before Fontan correction. It may reduce the deleterious sequelae of chronic hypoxaemia and long-term ventricular overload, thus yieldin...
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ژورنال
عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery
سال: 2017
ISSN: 1569-9293,1569-9285
DOI: 10.1093/icvts/ivw429