2008
DOI: 10.1055/s-2008-1038665 View full text |Buy / Rent full text
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Abstract: Biventricular "anatomic" or "classic repair" and "univentricular palliation" yield equivalent survival rates in the mid-term. Biventricular "anatomic repair", when feasible, should be promoted because of its better long-term outcome.

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“…14 In patients with contraindications to ventricular septation, BDG has been applied mainly as a bridge to Fontan completion with favorable outcomes. 15,16 Although some authors have pointed out that univentricular palliation may produce results equivalent to or better than those of anatomic repair for CCTGA, 17,18 we noted 2 late deaths and one failed Fontan completion in our patients who underwent TCPC for that purpose (group 1). However, no patients in our cohort who underwent prolonged palliation with BDG died or had ventricular dysfunction, indicating the need for careful consideration when deciding on the second-stage TCPC.…”
Section: Discussionmentioning
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“…14 In patients with contraindications to ventricular septation, BDG has been applied mainly as a bridge to Fontan completion with favorable outcomes. 15,16 Although some authors have pointed out that univentricular palliation may produce results equivalent to or better than those of anatomic repair for CCTGA, 17,18 we noted 2 late deaths and one failed Fontan completion in our patients who underwent TCPC for that purpose (group 1). However, no patients in our cohort who underwent prolonged palliation with BDG died or had ventricular dysfunction, indicating the need for careful consideration when deciding on the second-stage TCPC.…”
Section: Discussionmentioning
“…The Senning procedure has the advantages of avoiding the use of foreign materials and good growth potential, and can be done without postoperative caval obstruction of anatomic features 13)14). Horer et al15) reported that a reoperation is rarely needed because of baffle stenosis or leaks following the Senning operation.However, the Senning procedure is not easy for inexperienced surgeons or for those in small-volume centers. Most patients with TGA can undergo the arterial switch operation, but the atrial switch procedure is a challenge to learn.…”
Section: Discussionmentioning
“…[17][18][19][20] The Fontan procedure has been shown to have a better late survival over the physiological repair. 21,22 When compared to the classic anatomic repairs that surgeons have been increasingly indulging in, there have been reports that suggests no advantage with anatomical repair when compared to Fontan operation (in terms of freedom from reoperation and late survival), other than in the presence of preoperative tricuspid insufficiency. [21][22][23] New reports from Yasuda have demonstrated from exercise testing that there were no significant differences between patients undergoing TCPC and those undergoing anatomical repair.…”
Section: Discussionmentioning