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[Pulmonary ventricle bypass operations].

D Alfonso1, P Coelho, N Banazol

  • 1Unidade de Cirurgia Cardíaca Pediátrica, Serviço de Cirurgia Cardiotorácica do Hospital de Santa Marta, Lisboa.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|July 25, 2006
PubMed
Summary
This summary is machine-generated.

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Pulmonary ventricle bypass operations, including the Glenn and Fontan procedures, show excellent mid-term outcomes for complex congenital heart disease. Improvements in surgical techniques, like the extracardiac conduit, enhance patient results.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Context:

  • Cavopulmonary connections are vital for palliation in complex congenital heart disease requiring right heart bypass.
  • This study evaluates mid-term outcomes of pulmonary ventricle bypass operations performed at a single institution by a consistent surgical team.

Purpose:

  • To assess the mid-term efficacy and safety of pulmonary ventricle bypass operations.
  • To analyze outcomes of bidirectional cavopulmonary anastomosis (Glenn procedure) and total cavopulmonary connections (Fontan procedure).

Summary:

  • 62 patients underwent Glenn or Fontan procedures between 1999-2006 for single ventricle defects and other complex heart conditions.
  • No intra-operative mortality occurred; early mortality was 3.2%. Mean follow-up was 4 years with most patients in NYHA class I.

Related Experiment Videos

  • The extracardiac conduit technique in the Fontan procedure showed improved outcomes.

    • Impact:

    • Demonstrates the effectiveness of cavopulmonary connections in managing complex pediatric heart conditions.
    • Highlights the importance of surgical technique refinement for improved patient survival and quality of life.
    • Provides valuable data for surgical decision-making and patient counseling in congenital heart surgery.