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>
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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