Factors influencing survival in patients undergoing the bidirectional Glenn anastomosis

Alejos, Juan; Williams, Roberta G.; Jarmakani, Jay M.; Galindo, Alvaro; Isabel-Jones, Josephine; Drinkwater, Davis C.; Laks, Hillel; Kaplan, Samuel

doi:10.1016/s0002-9149(99)80722-x

Cited by 85 publications

(55 citation statements)

References 7 publications

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“…366 Measurements of transpulmonary gradient and PVRI are important in the selection of patients with a single ventricle for cavopulmonary surgery, and even small increases in these parameters adversely affect survival. [407][408][409] A transpulmonary gradient >6 mm Hg and PVRI >3 WU·m 2 have been suggested as predicting high risk for poor outcomes in these patients. However, many problems persist in estimating pulmonary blood flow and PVR after cavopulmonary anastomoses.…”

Section: Single-ventricle Physiologymentioning

confidence: 99%

Pediatric Pulmonary Hypertension

Abman¹,

Hansmann²,

Archer³

et al. 2015

Circulation

927

405

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Abstract-Pulmonary hypertension is associated with diverse cardiac, pulmonary, and systemic diseases in neonates, infants, and older children and contributes to significant morbidity and mortality. However, current approaches to caring for pediatric patients with pulmonary hypertension have been limited by the lack of consensus guidelines from experts in the field. In a joint effort from the American Heart Association and American Thoracic Society, a panel of experienced clinicians and clinician-scientists was assembled to review the current literature and to make recommendations on the diagnosis, evaluation, and treatment of pediatric pulmonary hypertension. This publication presents the results of extensive literature reviews, discussions, and formal scoring of recommendations for the care of children with pulmonary hypertension. Key Words: AHA Scientific Statements ◼ bronchopulmonary dysplasia ◼ congenital diaphragmatic hernia ◼ congenital heart disease ◼ genetics ◼ persistent pulmonary hypertension of the newborn ◼ sickle cell disease © 2015 by the American Heart Association, Inc., and the American Thoracic Society.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000329 †Deceased. The American Heart Association and the American Thoracic Society make every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This document was approved by the American Heart Association Science Advisory and Coordinating Committee on May 12, 2015, the American Heart Association Executive Committee on July 22, 2015, and the American Thoracic Society on July 24, 2015.The online-only Data Supplement is available with this article at http://circ.ahajournals.org/lookup/suppl/doi:10.1161/CIR.0000000000000329/-/DC1. The American Heart Association requests that this document be cited as follows: Abman SH, Hansmann G, Archer SL, Ivy DD, Adatia I, Chung WK, Hanna BD, Rosenzweig EB, Raj JU, Cornfield D, Stenmark KR, Steinhorn R, Thébaud B, Fineman JR, Kuehne T, Feinstein JA, Friedberg MK, Earing M, Barst RJ, Keller RL, Kinsella JP, Mullen M, Deterding R, Kulik T, Mallory G, Humpl T, Wessel DL; on behalf of the American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Clinical Cardiology, Council on Cardiovascular Disease in the Young, Council on Cardiovascular Radiology and Intervention, Council on Cardiovascular Surgery and Anesthesia, and the American Thoracic Society. Pediatric pulmonary hypertension: guidelines from the American Heart Association and American Thoracic Society. Circulation. 2015;132:2037-2099 Copies: This document is available on the World Wide Web site of the American Heart Associat...

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Section: Single-ventricle Physiologymentioning

confidence: 99%

Pediatric Pulmonary Hypertension

Abman¹,

Hansmann²,

Archer³

et al. 2015

Circulation

927

405

View full text Add to dashboard Cite

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“…Late survival after BCPS seems to hover around 85% at 10 years and 65% at 20 years. Because the patients reviewed were not systematically entered in a staging to Fontan policy, none of these studies was able to determine the probability of reaching Fontan status after BCPS [11][12][13][14][15]. Only the study of Tanoue specifically examined this outcome in 333 patients operated between 1992 and 2004 [16].…”

Section: Discussionmentioning

confidence: 99%

Fontan completion rate and outcomes after bidirectional cavo-pulmonary shunt☆

Tan

Iyengar

Donath

et al. 2010

European Journal of Cardio-Thoracic Surgery

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“…[22,23] Literatürde Kawashima ameliyatının cerrahi mortalitesi %0-33 aralığındaydı. [24,25] Bizim çalışmamızda Kawashima ameliyatından sonra erken dönemde bir olgu kaybedildi. Cerrahi mortalite %3.4 olarak bulundu.…”

Section: Discussionunclassified

A retrospective analysis of cases with left atrial isomerism

Erdem¹

2017

Turk Gogus Kalp Dama

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Bul gu lar:Ortalama takip süresi 108±49.5 (dağılım 12-173) ay idi. Yetmiş iki hastanın dördüne cerrahi gerekmez iken, iki hastaya kalıcı kalp pili takıldı. Cerrahi gereken 68 hastanın 17'si iki ventrikül tamiri adayı iken, geriye kalan 51 hasta tek ventrikül tamiri adayıydı. Yirmi dokuz hastaya Kawashima işlemi uygulandı. Bu hastaların yedisinde pulmoner antegrad akım açık bırakıldı. Dört hastada hepatik venler aynı seansta Fontan dolaşımına dahil edildi. Altı hastada takip sırasında ilerleyici siyanoz nedeniyle hepatik venler, ekstrakardiyak kondüit yardımıyla, pulmoner artere yönlendirildi. Cerrahi sonrasında üç hasta kaybedildi. Hepatik venlerin aynı seansta ya da ikinci bir seansta Fontan dolaşımına dahil edildiği hastalar veya antegrad pulmoner akımın açık bırakıldığı hastalarda mortalite veya ilerleyici siyanoz gözlenmedi.So nuç: İki ventrikül fizyolojisine sahip hastaların genel prognozu mükemmeldir. Ancak, Kawashima işlemi yapılan hastalarda doku oksijenizasyonu düşme eğilimindedir. Bu nedenle, Kawashima işlemi yapılan hastalarda, aynı seansta hepatik venlerin dolaşıma dahil edilmesi veya uygun olgularda antegrad akımın açık bırakılması güvenli bir yaklaşım olarak görünmektedir.Anah tarsöz cük ler:Kesintili inferior vena cava; isomerizm; Kawashima. ABSTRACT Background:In this study, we aimed to evaluate accompanying cardiac pathologies in patients with left atrial isomerism and report the follow-up results.

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Factors influencing survival in patients undergoing the bidirectional Glenn anastomosis

Cited by 85 publications

References 7 publications

Pediatric Pulmonary Hypertension

Pediatric Pulmonary Hypertension

Fontan completion rate and outcomes after bidirectional cavo-pulmonary shunt☆

A retrospective analysis of cases with left atrial isomerism

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