The Outcomes of Superior Cavopulmonary Connection Operation: a Single Center Experience
نویسندگان
چکیده
INTRODUCTION The superior cavopulmonary connection operation is one of the stages of the palliative surgical management for patients with functionally single ventricle. After surviving this stage, the patients are potential candidates for the final palliative procedure: the Fontan operation. OBJECTIVES This study aimed to analyze the outcomes of superior cavopulmonary connection operations in our center and to identify factors affecting the survival and the progression to Fontan stage. METHODS The outcomes of 161 patients were retrospectively analyzed after undergoing superior cavopulmonary connection operation in our center between 2005 and 2015. RESULTS The early mortality rate was 2.5%. Five (3.1%) patients underwent takedown of the superior cavopulmonary connection. The rate of exclusion from the Fontan stage was 8.3%. Statistical analysis revealed that elevated mean pulmonary artery pressure preoperatively and the prior palliation with pulmonary artery banding were risk factors for both early mortality and takedown; however, the age, the morphology of the single ventricle and the type of operation were not considered risk factors. CONCLUSION The superior cavopulmonary connection operation can be performed with low rate mortality and morbidity; however, the elevated mean pulmonary artery pressure preoperatively and the prior pulmonary artery banding are associated with poor outcomes.
منابع مشابه
Appropriate route selection for extracardiac total cavopulmonary connection in apicocaval juxtaposition.
BACKGROUND A malpositioned heart with apicocaval juxtaposition may complicate the management of patients with functional single ventricles when total cavopulmonary connection is performed. We reviewed our experience with extracardiac total cavopulmonary connection in patients with apicocaval juxtaposition with a special focus on route selection and outcomes. METHODS Of 68 patients who underwe...
متن کاملBidirectional inferior vena cava-pulmonary artery shunt: can it be an alternative for older patients presenting single ventricle heart disease in the third world countries?
The single ventricle cardiac pathologies are commonly treated with total cavopulmonary anastomosis in the current era. The modality is usually performed in two stages and the bidirectional superior vena cava-pulmonary artery shunt constitutes the first stage; after a certain period, the inferior vena cava is connected to the anastomosis. However, especially in relatively older patients, single ...
متن کاملEmbolic Stroke After Total Cavopulmonary Connection for Complex Congenital Heart Disease A Case Report
Thrombosis has been reported to occur variably from 1 day to more than 10 years after Fontan-type operation. We herein describe a case with heterotaxy syndrome with situs ambiguous, dextrocardia, single ventricle, complete atrioventricular canal defect, malposition of great arteries and bilateral superior vena cava who had received pulmonary artery banding and total cavopulmonary connection at ...
متن کاملFlow study of an extracardiac connection with persistent left superior vena cava.
BACKGROUND Numerous studies have sought to optimize the design of total cavopulmonary connections with a single superior vena cava. This study was directed to the 2% to 4.5% of the population with dual superior venae cavae, investigating the flow fields associated with such total cavopulmonary connection anatomies. Additionally, it demonstrates the potential use of computational designs and sim...
متن کاملThe beneficial vortex and best spatial arrangement in total extracardiac cavopulmonary connection.
OBJECTIVE Total extracardiac cavopulmonary connection is an established procedure, but the best spatial arrangement remains controversial. On the basis of our clinical experience with total extracardiac cavopulmonary connection, we performed quantitative and qualitative flow analysis on total extracardiac cavopulmonary connection models simulating the two most frequent arrangements applied to o...
متن کامل