2000
DOI: 10.1136/heart.83.1.51
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Definitive palliation with cavopulmonary or aortopulmonary shunts for adults with single ventricle physiology

Abstract: Objective-To compare the relative merits of cavopulmonary or aortopulmonary shunts, or both, as definitive non-Fontan palliations for patients with single ventricle physiology. Design-Clinical data, ECG, echocardiographic data, surgical records, and available postmortem material were reviewed in all patients with single ventricle physiology identified from the University of Toronto Congenital Cardiac Centre for Adults (UTCCCA) database who had not undergone a Fontan operation. Current status of patients was as… Show more

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Cited by 95 publications
(42 citation statements)
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“…Several articles focused on the mortality and morbidity in adult patients with CCHD such as Eisenmenger syndrome [3][4][5][6][7][8][9][10][11][12][13], tricuspid atresia [14], pulmonary atresia with ventricular septal defect [15], Glenn shunts [16], palliation with cavopulmonary or aortopulmonary shunts [17], Ebstein's anomaly [18] or univentricular heart [19]. However, most of these studies were conducted by a single center and the number of patients was relatively small.…”
Section: Introductionmentioning
confidence: 99%
“…Several articles focused on the mortality and morbidity in adult patients with CCHD such as Eisenmenger syndrome [3][4][5][6][7][8][9][10][11][12][13], tricuspid atresia [14], pulmonary atresia with ventricular septal defect [15], Glenn shunts [16], palliation with cavopulmonary or aortopulmonary shunts [17], Ebstein's anomaly [18] or univentricular heart [19]. However, most of these studies were conducted by a single center and the number of patients was relatively small.…”
Section: Introductionmentioning
confidence: 99%
“…12 Atrial arrhythmias may be associated with substantial morbidity and death, as hemodynamic deterioration can ensue. Depending on the type of repair, intra-atrial reentrant tachycardias or atrial fibrillation may occur in up to 57% of patients, 89 with often complex and/or multiple circuits. 90 At mid-term follow-up, sinus node dysfunction occurs in 13% to 16% of patients with classic modified Fontans (ie, right atrium to pulmonary artery anastomosis) and increases with duration of follow-up.…”
Section: Single-ventricle Physiology With Fontan Surgerymentioning
confidence: 99%
“…75 Although the occurrence of atrial tachycardias increase with follow-up duration and depend on the particular type of repair, they have been reported in up to 57% of patients. 60 The most common form is a macro-reentrant circuit, termed intraatrial reentrant tachycardia. These circuits may be complex or multiple.…”
Section: Arrhythmiasmentioning
confidence: 99%