Modification of Ventricular-to-Pulmonary Shunt to Minimize Proximal Conduit Obstruction After Stage I Norwood Reconstruction

被引：10

作者：

Hasaniya, Nahidh W. ^{[1
]}

Shattuck, Howard ^{[1
]}

Razzouk, Anees ^{[1
]}

Bailey, Leonard ^{[1
]}

机构：

[1] Loma Linda Univ, Dept Cardiothorac Surg, Childrens Hosp, Loma Linda, CA 92354 USA

来源：

ANNALS OF THORACIC SURGERY | 2010年 / 89卷 / 01期

关键词：

LEFT-HEART SYNDROME; ARTERY CONDUIT; EXPERIENCE; SURGERY;

D O I：

10.1016/j.athoracsur.2009.08.079

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The use of right ventricle-to-pulmonary artery conduit improved postoperative hemodynamics and survival in hypoplastic left heart syndrome patients. Proximal conduit anastomosis obstruction prompts hypercyanosis and early bidirectional Glenn connection. We describe modification of the proximal right ventricle-to-pulmonary artery conduit anastomosis to eliminate this complication. Outcomes after Norwood operation using standard Sano (group II) versus modified (group I) right ventricle-to-pulmonary artery conduit anastomosis were evaluated. Group II patients had more hospital readmissions for cyanosis (19 vs 1; p <= 0.05), the Glenn operation at younger age (4.4 vs 5.6 months), and more proximal stenosis (3 [20%] vs zero; p <= 0.05) than group I. This modification may eliminate progressive proximal stenosis. (Ann Thorac Surg 2010; 89: e4-6) (C) 2010 by The Society of Thoracic Surgeons

引用

页码：E4 / E6

页数：3

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