One and One-Half Ventricle Repair: Role for Restricting Antegrade Pulmonary Blood Flow

Prasanna, Anagha; Tan, Corinne W.; Anastasopulos, Alexandra; Beroukhim, Rebecca S.; Emani, Sitaram M.

doi:10.1016/j.athoracsur.2021.04.058

Cited by 7 publications

(5 citation statements)

References 26 publications

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“…Аналізуючи отримані інтраопераційні показники, привертає увагу середня тривалість роботи штучного кровообігу, перфузії та перетискання аорти, що була най- [15]. Смертність після шунтування за Гленном у провідних клініках коливається і становить від 5 до 15 % Водночас одними з основних факторів, що впливають на смертність, є синдром гетеротаксії, аномальний дренаж легеневих вен, аномальна архітектура та особливо високий тиск у ЛА [16].…”

Section: таблиця 1 характеристика пацієнтів залежно від встановленого...unclassified

Bidirectional Cavapulmonary Anastomosis as a Stage of Hemodynamic Correction of Hypoplastic Right Heart Syndrome

Imanov,

Dziuryi,

Truba

et al. 2024

ujcvs

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Hypoplastic right heart syndrome (HRHS) is a rare cyanotic congenital heart disease with a wide spectrum of cardiac anomalies characterized by underdevelopment of the right heart. Survival and type of surgery in these patients directly correlate with structural anatomy and circulatory physiology. The aim. To evaluate perioperative characteristics in patients with HRHS, immediate and long-term results after bidirectional cavapulmonary anastomosis. Materials and methods. In the period from 1996 to 2022, 80 patients with HRHS underwent hemodynamic correction at the National Amosov Institute of Cardiovascular Surgery. All the patients were divided into three age groups: group I (n = 18) with patients who underwent hemodynamic correction under the age of 1 year, group II (n = 33) including patients who underwent surgery between the ages of 12 and 36 months, and group III (n = 29) comprised of those operated at the age older than 3 years. Results. In the early postoperative period, 5 (6%) deaths were reported among the patients of three groups: 3 in group I and 2 in group III. There were no deaths among patients of the group II. Median durations of mechanical ventilation, total exudation, hourly and total sympathomimetic support, hospital stay were significantly lower in group II in contrast to the comparison groups. An uncomplicated course of the early postoperative period was observed in 59 (74%) patients. Conclusions. In patients with HRHS, the determination of treatment tactics requires a careful approach, especially in newborns and infants. The implementation of hemodynamic correction shows significantly better results in early childhood.

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Section: таблиця 1 характеристика пацієнтів залежно від встановленого...unclassified

Bidirectional Cavapulmonary Anastomosis as a Stage of Hemodynamic Correction of Hypoplastic Right Heart Syndrome

Imanov,

Dziuryi,

Truba

et al. 2024

ujcvs

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“…In some instances, take-down of the superior cavopulmonary anastomosis at a future procedure allows completion of the biventricular repair. 24 "Reverse" Double Switch…”

Section: Ventricle Repairmentioning

confidence: 99%

A Review of Biventricular Repair for the Congenital Cardiac Anesthesiologist

Davies

DiNardo

Emani

et al. 2022

Semin Cardiothorac Vasc Anesth

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The management of children with a borderline ventricle has been debated for many years. The pursuit of a biventricular repair in these children aims to avoid the long-term sequelae of single ventricle palliation. There is a lack of anesthesia literature relating to the care of this complex heterogenous patient population. Anesthesiologists caring for these patients should have an understanding on the many different forms of physiology and the impact on provision of anesthesia and hemodynamic parameters, the goals of biventricular staging and completion as well as the pre-operative, intra-operative, and post-operative considerations relating to this high-risk group of patients.

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“…Superior vena cava (SVC)–to-right pulmonary artery (RPA) anastomosis with antegrade pulmonary artery (PA) flow is a common method in a one-and-a-half ventricular repair, and the restriction of antegrade PA flow can reduce the SVC pressure, leading to the prevention of subsequent facial swelling and SVC aneurysm. 1 However, its detailed hemodynamics have not been fully uncovered.…”

mentioning

confidence: 99%

Computed Fluid Dynamics Analysis for SVC-to-RPA Anastomosis With Antegrade Pulmonary Flow

Sumitomo,

Kodo,

Oyanagi

et al. 2024

JACC: Case Reports

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One and One-Half Ventricle Repair: Role for Restricting Antegrade Pulmonary Blood Flow

Cited by 7 publications

References 26 publications

Bidirectional Cavapulmonary Anastomosis as a Stage of Hemodynamic Correction of Hypoplastic Right Heart Syndrome

Bidirectional Cavapulmonary Anastomosis as a Stage of Hemodynamic Correction of Hypoplastic Right Heart Syndrome

A Review of Biventricular Repair for the Congenital Cardiac Anesthesiologist

Computed Fluid Dynamics Analysis for SVC-to-RPA Anastomosis With Antegrade Pulmonary Flow

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