The bidirectional cavopulmonary shunt

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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...

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Bidirectional 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 ...

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Bidirectional 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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3D-modelling of transient left bronchial obstruction following bidirectional superior cavopulmonary shunt

Extrinsic compression of airways is one the most important causes of respiratory insufficiency in the perioperative period in children with congenital heart disease. This is especially true of pathologies that involve surgery of the aortic arch or conduit replacement of the right ventricular outflow tract. However bronchial obstruction is uncommon in the setting of bidirectional cavopulmonary s...

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OBJECTIVE The importance of bidirectional cavopulmonary anastomosis for palliation of complex cyanotic congenital heart disease is widely recognized. This study was conducted to highlight our surgical experience with this procedure in a developing country. METHODS A retrospective study was conducted using medical records at the Aga Khan University Hospital, Karachi, Pakistan. Clinical finding...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1990

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)35594-1