Results of total cavopulmonary connection in the treatment of patients with a functional single ventricle

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Early and intermediate-term results of the extracardiac conduit total cavopulmonary connection for functional single-ventricle hearts.

BACKGROUND/PURPOSE Fontan operation has evolved from atriopulmonary connection to total cavopulmonary connection (TCPC) due to its advantages in terms of hemodynamics and reduction of atrium-related complications. We analyzed the early and intermediate-term results of extracardiac conduit TCPC (EC-TCPC) procedure in patients with functional single ventricle to investigate the risk factors of su...

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Results of extracardiac conduit total cavopulmonary connection in 500 patients.

OBJECTIVES This single-institution study aimed to evaluate the early to mid-term outcomes of extracardiac conduit total cavopulmonary connection (EC-TCPC). METHODS Between March 1994 and March 2014, 500 patients (median age, 3.4 years) underwent EC-TCPC at our hospital. One hundred and twenty-three patients (24.6%) showed heterotaxy, and fenestration was created in 6 patients (1.2%). The stan...

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The total cavopulmonary connection resistance: a significant impact on single ventricle hemodynamics at rest and exercise.

Little is known about the impact of the total cavopulmonary connection (TCPC) on resting and exercise hemodynamics in a single ventricle (SV) circulation. The aim of this study was to elucidate this mechanism using a lumped parameter model of the SV circulation. Pulmonary vascular resistance (1.96+/-0.80 WU) and systemic vascular resistances (18.4+/-7.2 WU) were obtained from catheterization da...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1991

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)36561-4