MIDTERM RESULTS OF THE MODIFIED SENNING OPERATION FOR CAVOPULMONARY CONNECTION WITH AUTOLOGOUS TISSUE

被引：8

作者：

BENATAR, A ^{[1
]}

TANKE, R ^{[1
]}

ROEF, M ^{[1
]}

MEYBOOM, EJ ^{[1
]}

VANDEWAL, HJCM ^{[1
]}

机构：

[1] UNIV UTRECHT,WILHELMINA CHILDRENS HOSP,CTR CHILDRENS HEART,3501 CA UTRECHT,NETHERLANDS

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1995年 / 9卷 / 06期

关键词：

CONGENITAL HEART DISEASE; SENNING OPERATION; CAVOPULMONARY ANASTOMOSIS; FONTAN OPERATION;

D O I：

10.1016/S1010-7940(05)80190-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The aim of this study was to determine the results and mid-term outcome of a modified Senning technique using autologous tissue for total cavopulmonary connection, The study involved 31 children, 8 with tricuspid atresia and 23 with complex congenital heart disease, In this operation, a flap of autologous atrial free wall tissue was used to tunnel inferior vena caval blood to the pulmonary arteries, An aditional Damus-Kay-Stansel operation was required in 9 patients with subaortic obstruction, Results: the early mortality rate was 16% (5 out of 31 patients) and there were four late deaths, Complications: Pleural effusions were encountered in 17 patients, of whom 4 had a concomitant pericardial effusion, Diaphragmatic paralysis was diagnosed in five patients, one of whom underwent surgical plication, Median hospital stay was 26 days, The 1- to 5-year actuarial survival was 68.6%. Follow-up ranged from 10 months to 7.1 years, mean 3.2 years, A serious atrial arrhythmia was diagnosed in one patient and another one died, possibly from rhythm disorders, Exercise tolerance and quality of life has improved in all but one of the survivors, Although follow-up is short, we have thus far witnessed a low incidence of hemodynamic and rhythm disturbances with this modification of the cavopulmonary connection.

引用

页码：320 / 324

页数：5

共 27 条

[1]

Bartmus D., Driscoll D., Offord K., Humes R., Mair D., Schaff H., Puga F., Danielson G., The modified Fontan operation for children less than 4 years old, J am Coll Cardiol, 15, pp. 429-435, (1990)

[2]

Battiste C.E., Porter C.J., Humes R.A., Supraventricular Tachyarrhythmias after the Fontan Procedure for Tricuspid Atresia, (1986)

[3]

Chopra P.S., Rao P.S., Corrective surgery for tricuspid atresia: Which modification of Fontan-Kreutzer procedure should be used? A review, Am Heart J, 123, pp. 758-767, (1992)

[4]

Chu S.H., Leu M.R., Chwang C.D., Wang J.R., Total cavopul-monary connection. A modified technique without prosthetic material, J Card Surg, 6, pp. 294-298, (1991)

[5]

Cowgill L.D., The Fontan procedure: A historical review, Ann Thorac Surg, 51, pp. 1026-1030, (1991)

[6]

De Leval M., Kilner P., Gewillig M., Bull C., Mc Goon D.C., Total cavopulmonary connection: A logical alternative to atrio-pulmonary connection for complex Fontan operations, J Thorac Cardiovasc Surg, 96, pp. 682-695, (1988)

[7]

Driscoll D.J., Offord K.P., Feldt R.H., Schaff H.V., Puga F.J., Danielson K.G., Five- to fifteen-year follow-up after Fontan operation, Circulation, 85, pp. 469-496, (1992)

[8]

Fantidis P., Cabo Salvador J., Fernandez Ruiz M.A., Gamallo Amat C., Perez Martinez V., Concha Ruiz H., A new surgical technique for orthoterminal correction: Experimental development, Ann Thorac Surg, 39, pp. 450-455, (1985)

[9]

Fernandez G., Costa F., Fontan F., Naftel D.C., Blackstone E.H., Kirklin J.W., Prevalence of reoperations for pathway obstruction after Fontan operation, Ann Thorac Surg, 48, pp. 654-659, (1989)

[10]

Fontan F., Baudet E., Surgical repair of tricuspid atresia, Thorax, 26, pp. 240-248, (1971)

← 1 2 3 →