LONG TERM OUTCOMES OF ADULTS WITH SINGLE VENTRICLE PHYSIOLOGY NOT UNDERGOING FONTAN REPAIR: A MULTICENTRE EXPERIENCE

2021 ◽  
Author(s):  
Francisco Buendía-Fuentes ◽  
Blanca Gordon-Ramírez ◽  
Laura Dos Subirà ◽  
Pablo Merás ◽  
Pastora Gallego ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Long Term Outcomes ◽  
Single Ventricle Physiology

scholarly journals LONG TERM OUTCOMES AFTER THE FONTAN PROCEDURE IN PATIENTS WITH SINGLE VENTRICLE: A META-ANALYSIS

2017 ◽  
Vol 69 (11) ◽  
pp. 622
Author(s):  
Ilana Schwartz ◽  
Courtney McCracken ◽  
Christopher Petit ◽  
Ritu Sachdeva
Keyword(s):  
Single Ventricle ◽  
Meta Analysis ◽  
Fontan Procedure ◽  
Long Term Outcomes

scholarly journals Long-term outcomes of common atrioventricular valve plasty in patients with functional single ventricle

2013 ◽  
Vol 18 (3) ◽  
pp. 259-265 ◽  
Author(s):  
Y. Misumi ◽  
T. Hoashi ◽  
K. Kagisaki ◽  
M. Kitano ◽  
K. Kurosaki ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Atrioventricular Valve ◽  
Long Term Outcomes ◽  
Common Atrioventricular Valve

Pulsatile Glenn as long-term palliation for single ventricle physiology patients

2018 ◽  
Vol 13 (6) ◽  
pp. 927-934 ◽  
Author(s):  
Martin A. Chacon-Portillo ◽  
Rodrigo Zea-Vera ◽  
Huirong Zhu ◽  
Heather A. Dickerson ◽  
Iki Adachi ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Single Ventricle Physiology

scholarly journals IS A PULSATILE GLENN AN ADEQUATE ALTERNATIVE FOR LONG-TERM PALLIATION IN PATIENTS WITH SINGLE VENTRICLE PHYSIOLOGY?

2017 ◽  
Vol 69 (11) ◽  
pp. 621
Author(s):  
Carlos M. Mery ◽  
Martin A. Chacon-Portillo ◽  
Huirong Zhu ◽  
Heather Dickerson ◽  
Iki Adachi ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Single Ventricle Physiology

scholarly journals Socioeconomic Status and Long-term Outcomes in Single Ventricle Heart Disease

PEDIATRICS ◽  
2020 ◽  
Vol 146 (4) ◽  
pp. e20201240
Author(s):  
Emily M. Bucholz ◽  
Lynn A. Sleeper ◽  
Caren S. Goldberg ◽  
Sara K. Pasquali ◽  
Brett R. Anderson ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Heart Disease ◽  
Single Ventricle ◽  
Long Term Outcomes

Long term outcome of single ventricle physiology with pulmonary restriction not undergoing Fontan repair

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
F Buendia ◽  
B Ramirez ◽  
P Gallego ◽  
J.M Oliver ◽  
S Montserrat ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Single Ventricle Physiology ◽  
Pulmonary Flow ◽  
Adult Congenital ◽  
Group 3 ◽  
Group 2

Abstract Background Patients with univentricular physiology who do not complete the palliation to Fontan are a heterogeneous group with unknown long term outcome. Aims This study aimed at describing the clinical course and long-term survival of patients with SV physiology with restricted pulmonary flow that had not undergone a Fontan type of repair. Methods From the prospectively maintained databases of the adult congenital cardiac units of five tertiary referral centers, data from all SV physiology patients were obtained. Patients completing a Fontan type palliation or developing Eisenmenger physiology and segmental pulmonary hypertension were excluded. Baseline data were recorded on the first visit at adult congenital heart disease (ACHD) unit. The primary end point was death. Results 101 patients (50.5% females) were identified. Mean age at end of follow up was 39.3±11.3 years. Of these, 45 (44.6%) were unoperated (group 1, restricted forward pulmonary flow with or without pulmonary banding), 38 (37.6%) had undergone a cavopulmonary shunt as a definitive palliation (group 2) and 18 (17.8%) had aortopulmonary shunts (group 3). The main diagnosis was double inlet left ventricle (DILV) (N: 52, 51.5%) and most of the ventricle was left (82.2%). The principal reason for not performing a Fontan repair was mean pulmonary artery pressure >18 mmHg. At initial visit at the ACHD unit patients were 32.2±11.1 years of age. 35% of the patients were in NYHA class III-IV, with no differences between groups. However, patients in group 2 had worse oxygen saturation (p=002) and higher haemoglobin (p=0.037). After a mean follow-up of 7.3±4.1 years, mortality was 20.8% (21 patients), being sudden death (7p, 6.9%) the most frequent cause. Patients in group 3 showed worse ventricular function (p=0.0001) and a trend to higher mortality that did not reach statistical significance (HR 2.7, CI 95% 0.91–8.14, P=0.07). Conclusions Patients with single ventricle physiology not undergoing Fontan repair are a population of high risk, with sudden death as main driver of mortality. Patients palliated with aortopulmonary shunts are prone to worse ventricular function and a trend to higher mortality. Funding Acknowledgement Type of funding source: Public hospital(s)

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