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Clinical advantages of total cavopulmonary anastomosis without cardiopulmonary bypass / 中国医学科学杂志(英文版)
Chinese Medical Sciences Journal ; (4): 11-15, 2005.
Article in English | WPRIM | ID: wpr-305471
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate surgical methods and results of extracardiac conduit total cavopulmonary anastomosis (EC-TCPA) without cardiopulmonary bypass (CPB).</p><p><b>METHODS</b>From May 2000 to April 2003, 11 patients with functional univentricle underwent off-pump EC-TCPA (no-CPB group). Their postoperative outcome was retrospectively compared with a 17-patient group who underwent EC-TCPA with cardiopulmonary bypass (CPB group) over a concurrent time period.</p><p><b>RESULTS</b>There was 1 operative death in no-CPB group and 2 in CPB group; early postoperative hemodynamics appeared to significantly improve in no-CPB group. Blood and platelet transfusions decreased and blood plasma transfusion significantly lowered in no-CPB group compared with CPB group (P = 0.036). Postoperative courses of patients in no-CPB group were smooth and event free, and extubation time was substantially short Intensive cares unit stay (P = 0.04) and hospital stay (P = 0.02) postoperation were significantly shorter, hospital costs were significantly reduced (P = 0.004) in no-CPB group compared with CPB group.</p><p><b>CONCLUSIONS</b>EC-TCPA without use of CPB is not a difficult procedure; the procedure results in improvement in postoperative hemodynamics, and decreased use of blood and blood products. It is a more efficient operation with more short recovery time and reduced hospital stay.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Blood Pressure / Cardiopulmonary Bypass / Retrospective Studies / Follow-Up Studies / Heart Bypass, Right / Heart Defects, Congenital / Methods Type of study: Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English Journal: Chinese Medical Sciences Journal Year: 2005 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Blood Pressure / Cardiopulmonary Bypass / Retrospective Studies / Follow-Up Studies / Heart Bypass, Right / Heart Defects, Congenital / Methods Type of study: Observational study / Prognostic study Limits: Adolescent / Child / Child, preschool / Female / Humans / Male Language: English Journal: Chinese Medical Sciences Journal Year: 2005 Type: Article