A better approach for left ventricular training in transposition of the great arteries and intact interventricular septum: Bidirectional cavopulmonary anastomosis and pulmonary artery banding
| العنوان: | A better approach for left ventricular training in transposition of the great arteries and intact interventricular septum: Bidirectional cavopulmonary anastomosis and pulmonary artery banding |
|---|---|
| المؤلفون: | Mustafa Kemal Avsar, Yalim Yalcin, Sener Demiroluk, Osman Kucukosmanoglu, Arda Ozyuksel, Mehmet Salih Bilal |
| المساهمون: | Biruni Üniversitesi |
| المصدر: | Congenital Heart Disease. 14:464-469 |
| بيانات النشر: | Computers, Materials and Continua (Tech Science Press), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Time Factors, Transposition of Great Vessels, Pulmonary Artery, 030204 cardiovascular system & hematology, Fontan Procedure, Ventricular Function, Left, Pulmonary artery banding, 03 medical and health sciences, 0302 clinical medicine, Superior vena cava, 030225 pediatrics, Internal medicine, medicine, Humans, Radiology, Nuclear Medicine and imaging, Interventricular septum, Transposition of The Great Arteries, Ventricular Remodeling, business.industry, Palliative Care, Infant, Bidirectional Glenn Procedure, Recovery of Function, General Medicine, Modified Blalock–Taussig Shunt, Arterial Switch Operation, Treatment Outcome, medicine.anatomical_structure, Ventricle, Great arteries, Glenn procedure, Child, Preschool, Pediatrics, Perinatology and Child Health, Cardiology, Female, Surgery, Intact Ventricular Septum, Cardiology and Cardiovascular Medicine, business, Shunt (electrical), Artery |
| الوصف: | Objective Management of the patients with transposition of the great arteries and intact ventricular septum may be challenging beyond the newborn period. Herein, we would like to present our alternative strategy for training the left ventricle in these patients. Methods Six patients with transposition of the great arteries and intact ventricular septum were evaluated in our clinic. Two of them were palliated with Glenn procedure and pulmonary banding as a definitive treatment strategy at other centers. Four patients were operated on and a bidirectional cavopulmonary anastomosis in combination with pulmonary artery banding was performed (stage-1: palliation and ventricular training) in our center. In four out of these six patients, arterial switch operation was performed with takedown and direct re-anastomosis of the superior vena cava to right atrium after an interstage period of 21-30 months (stage-2: anatomical repair). Results Any mortality was not encountered. The left ventricular mass indices increased from 18-32 to 44-74 g/m2 in patients undergoing the anatomical repair. All of the patients were uneventfully discharged following the second stage. The mean follow-up period was 20 months (9-32 months) following stage 2. All of the patients are doing well with trivial neoaortic regurgitation and normal biventricular function. Conclusions Bidirectional cavopulmonary anastomosis with pulmonary artery banding may be a promising left ventricle training approach in ventriculoarterial discordance when compared to the traditional pulmonary artery banding with concomitant systemic-to-pulmonary artery shunt procedures which still carry a significant interstage morbidity and mortality. |
| وصف الملف: | application/pdf |
| تدمد: | 1747-0803 1747-079X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1bb08598145b7b44b81dc6a5e36b9e44 https://doi.org/10.1111/chd.12749 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....1bb08598145b7b44b81dc6a5e36b9e44 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17470803 1747079X |
|---|