Cavo-pulmonary Anastomosis

Cavo-pulmonary anastomosis.

A direct anastomosis between the superior vena cava and the right pulmonary artery will allow some 40% of the total venous return to pass directly through the lungs without any ventricular action, and for the purpose of providing palliative treatment for the above conditions might offer some advantages over the systemic-pulmonary shunts. The operation can be performed with relative ease in smal...

Cavo-pulmonary anastomosis associated with left ventricular in comparison with biventricular circulatory support in acute heart failure.

OBJECTIVE Right ventricular (RV) failure during left ventricular assist device (LVAD) support can result in severe hemodynamic compromise with high mortality. This study investigated the acute effects of cavo-pulmonary anastomosis on LVAD performance and RV myocardial compromise in comparison with biventricular circulatory support, in a model of biventricular failure. METHODS LVAD support was...

Fontan completion rate and outcomes after bidirectional cavo-pulmonary shunt.

OBJECTIVE To determine outcomes of patients undergoing a bidirectional cavo-pulmonary shunt (BCPS) in the Fontan era. METHODS From 1990 to 2000, 212 patients underwent a BCPS in a single institution at a mean age of 2.6+/-5 years. RESULTS Hospital mortality was 6% (13 patients). Five patients were lost to follow-up (3%). After a mean of 9+/-4 years, 15 patients had not yet been referred for...

Aorta to Right Pulmonary Artery Anastomosis

Thirty patients with cyanotic heart disease, including Fallot's tetralogy, transposition of the great arteries, and tricuspid atresia had Waterston's anastomosis for gross effort intolerance or cyanotic attacks. The results were good in 28. Spontaneous closure of the anastomosis occurred in one patient. There was a tendency for preferential perfusion of the right lung, and unilateral pulmonary ...

Ascending aorta-right pulmonary artery anastomosis.