The Clinical Efficacy of Bidirectional Cavopulmonray Shunt in Young Infants / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 177-183, 2006.
Article
in Korean
| WPRIM
| ID: wpr-56089
ABSTRACT
BACKGROUND:
The bidirectional cavopulmonary shunt (BCPS) is one of the primary palliative procedures for complex congenital heart disease. It has many advantages, but it is known to have high risks in young infants. MATERIAL ANDMETHOD:
From 1995 to 2003, 48 infants under the age of one year underwent BCPS. All the patients were Fontan candidates due to functional univentricular heart physiology. There were no significant differences in preoperative variables, except in mean age (67.58+/-3.78 vs. 212.91+/-13.44 days), and mean body weight (4.51+/-0.29 vs. 6.62+/-0.27 kg), between group A ( or=3 months, n=36).RESULT:
In group A, the arterial oxygen saturations serially measured were significantly lower. Hospital mortality was 25%, and 19%, respectively. During follow up, there were 2 late mortalities in group A, and 5 in group B.CONCLUSION:
This study showed that operative risk in young infants was comparable to that of older patients, and BCPS could be a good option as a primary palliative procedure, and may eliminate other repeated palliative procedures which could be the risk factors for Fontan candidates. However, in high-risk patients accompanying pulmonary hypertension, or heterotaxia syndrome, other palliative procedures should be considered.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Physiology
/
Body Weight
/
Anastomosis, Surgical
/
Risk Factors
/
Follow-Up Studies
/
Mortality
/
Hospital Mortality
/
Fontan Procedure
/
Heart
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
/
Infant
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2006
Type:
Article
Similar
MEDLINE
...
LILACS
LIS