دورية أكاديمية
أعرض في EDS

Bidirectional glenn surgery without palliative pulmonary artery banding in univentricular heart with unrestricted pulmonary flow. Retrospective multicenter experience.

التفاصيل البيبلوغرافية
العنوان: Bidirectional glenn surgery without palliative pulmonary artery banding in univentricular heart with unrestricted pulmonary flow. Retrospective multicenter experience.
المؤلفون: Abdelmohsen GA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia. gaser_abdelmohsen81@yahoo.com.; Pediatric Cardiology Division, Department of Pediatrics, Kasr Al Ainy School of Medicine, Cairo University, 99 El-Manial St., Cairo, 11451, Egypt. gaser_abdelmohsen81@yahoo.com., Gabel HA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Alamri RM; Cardiac Surgery Division, Department of Surgery, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Baamer A; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Al-Radi OO; Cardiac Surgery Division, Department of Surgery, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, P.O. Box 40047, Jeddah, 21499, Saudi Arabia., Binyamin A; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Jamjoom AA; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, P.O. Box 40047, Jeddah, 21499, Saudi Arabia., Elmahrouk AF; Division of Cardiac Surgery, Cardiovascular Department, King Faisal Specialist Hospital and Research Center, P.O. Box 40047, Jeddah, 21499, Saudi Arabia.; Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt., Bahaidarah SA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Alkhushi NA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Abdelsalam MH; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.; Cardiology Department, Benha University, Benha, Egypt., Ibrahim H; Pediatric Cardiology Division, Department of Pediatrics, Kasr Al Ainy School of Medicine, Cairo University, 99 El-Manial St., Cairo, 11451, Egypt., Elakaby AR; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.; Pediatric department, Al-Azhar University, Cairo, Egypt., Khawaji A; Department of Pediatrics, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia., Alghobaishi A; Department of Pediatrics, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia., Maghrabi KA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Zaher ZF; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Al-Ata JA; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Azhar AS; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia., Dohain AM; Pediatric Cardiology Division, Department of Pediatrics, King Abdulaziz University, P.O.BOX: 80215, Jeddah, 21589, Saudi Arabia.; Pediatric Cardiology Division, Department of Pediatrics, Kasr Al Ainy School of Medicine, Cairo University, 99 El-Manial St., Cairo, 11451, Egypt.; Department of Pediatrics, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
المصدر: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2024 Feb 06; Vol. 19 (1), pp. 67. Date of Electronic Publication: 2024 Feb 06.
نوع المنشور: Multicenter Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مواضيع طبية MeSH: Fontan Procedure*/methods , Heart Defects, Congenital*/surgery , Univentricular Heart*, Humans ; Infant ; Pulmonary Artery/surgery ; Retrospective Studies ; Treatment Outcome ; Palliative Care/methods ; Heart Ventricles/surgery
مستخلص: Background: Although pulmonary artery banding (PAB) has been generally acknowledged as an initial palliative treatment for patients having single ventricle (SV) physiology and unrestrictive pulmonary blood flow (UPBF), it may result in unfavorable outcomes. Performing bidirectional Glenn (BDG) surgery without initial PAB in some selected cases may avoid the complications associated with PAB and reduce the number of operative procedures for these patients. This research aimed to assess the outcome of BDG surgery performed directly without doing initial PAB in patients with SV-UPBF.
Methods: This Multicenter retrospective cohort includes all patients with SV-UPBF who had BDG surgery. Patients were separated into two groups. Patients in Group 1 included patients who survived till they received BDG (20 Patients) after initial PAB (28 patients), whereas patients in Group 2 got direct BDG surgery without first performing PAB (16 patients). Cardiac catheterization was done for all patients before BDG surgery. Patients with indexed pulmonary vascular resistance (PVRi) ≥ 5 WU.m 2 at baseline or > 3 WU.m 2 after vasoreactivity testing were excluded.
Results: Compared with patients who had direct BDG surgery, PAB patients had a higher cumulative mortality rate (32% vs. 0%, P = 0.016), with eight deaths after PAB and one mortality after BDG. There were no statistically significant differences between the patient groups who underwent BDG surgery regarding pulmonary vascular resistance, pulmonary artery pressure, postoperative usage of sildenafil or nitric oxide, intensive care unit stay, or hospital stay after BDG surgery. However, the cumulative durations in the intensive care unit (ICU) and hospital were more prolonged in patients with BDG after PAB (P = 0.003, P = 0.001respectively).
Conclusion: Direct BDG surgery without the first PAB is related to improved survival and shorter hospital stays in some selected SV-UPBF patients.
(© 2024. The Author(s).)
References: J Thorac Cardiovasc Surg. 1991 May;101(5):917-23. (PMID: 1708842)
Eur J Cardiothorac Surg. 2005 Jun;27(6):949-55. (PMID: 15896600)
Clin Exp Hypertens. 2021 May 19;43(4):328-333. (PMID: 33541150)
Egypt Heart J. 2022 Aug 4;74(1):57. (PMID: 35925522)
Pediatr Cardiol. 2016 Mar;37(3):606-9. (PMID: 26694916)
Circulation. 1986 Apr;73(4):758-64. (PMID: 2419010)
World J Pediatr Congenit Heart Surg. 2018 Mar;9(2):157-170. (PMID: 29544408)
Heart Surg Forum. 2020 Nov 18;23(6):E850-E856. (PMID: 33234193)
J Cardiovasc Transl Res. 2019 Oct;12(5):459-466. (PMID: 30847657)
Ann Thorac Surg. 2022 Sep;114(3):858-865. (PMID: 34283953)
Asian Cardiovasc Thorac Ann. 2014 Jul;22(6):660-6. (PMID: 24887876)
J Thorac Cardiovasc Surg. 2015 Jan;149(1):213-20. (PMID: 25190463)
Ann Thorac Surg. 2002 Sep;74(3):805-10; discussion 810. (PMID: 12238843)
Pediatr Cardiol. 2010 Jan;31(1):33-9. (PMID: 19812881)
فهرسة مساهمة: Keywords: Bidirectional Glenn; Pulmonary artery banding; Single ventricle; Unrestrictive pulmonary flow
تواريخ الأحداث: Date Created: 20240206 Date Completed: 20240208 Latest Revision: 20240210
رمز التحديث: 20240210
مُعرف محوري في PubMed: PMC10845678
DOI: 10.1186/s13019-024-02572-7
PMID: 38321557
قاعدة البيانات: MEDLINE
الوصف
تدمد:1749-8090
DOI:10.1186/s13019-024-02572-7