Successful Total Correction of Common Ventricle

CHEST Journal ◽  
1972 ◽  
Vol 61 (2) ◽  
pp. 192-194 ◽  
Author(s):  
Shigeru Sakakibara ◽  
Seiichi Tominaga ◽  
Yasuharu Imai ◽  
Kichisaburo Uehara ◽  
Masatomo Matsumuro
Keyword(s):  
Total Correction ◽  
Common Ventricle

A successful biventricular repair in an adult case with “common ventricle” and isomeric atrial appendages previously undergoing the conventional Glenn procedure

1998 ◽  
Vol 46 (11) ◽  
pp. 1177-1181 ◽  
Author(s):  
Masahiro Yoshida ◽  
Toshikatsu Yagihara ◽  
Hideki Uemura ◽  
Katsushi Yamashita ◽  
Yoichi Kawahira ◽  
...  
Keyword(s):  
Adult Case ◽  
Biventricular Repair ◽  
Common Ventricle ◽  
Glenn Procedure

scholarly journals Clinical characteristics of patients over 20 years old without total correction in tetralogy of Fallot

1995 ◽  
Vol 58 (SupplementIV) ◽  
pp. 1260-1264 ◽  
Author(s):  
Miyako Kusumoto ◽  
Kuniko Amemiya ◽  
Saichi Hosoda ◽  
Kazuo Monma
Keyword(s):  
Tetralogy Of Fallot ◽  
Clinical Characteristics ◽  
Total Correction

Results of Total Correction of Tetralogy of Fallot Performed in Adults

1988 ◽  
Vol 46 (3) ◽  
pp. 297-301 ◽  
Author(s):  
P. Presbitero ◽  
D. Demarie ◽  
E. Aruta ◽  
M. Villani ◽  
M. Disumma ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Total Correction

One-Stage Total Correction of Tetralogy of Fallot

1973 ◽  
Vol 8 (6) ◽  
pp. 60-68
Author(s):  
Albert Starr ◽  
Cecille O. Sunderland
Keyword(s):  
Tetralogy Of Fallot ◽  
Total Correction ◽  
One Stage

Successful management of pseudoaneurysm of the aorta complicating total correction in Tetralogy of Fallot

2007 ◽  
Vol 23 (3) ◽  
pp. 224-226
Author(s):  
Gautam Sengupta ◽  
Shubhankar Bhattacharya ◽  
Dibakar Das ◽  
Shantanu Dutta ◽  
Nimish Rai ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Successful Management ◽  
Total Correction

scholarly journals Right ventricular outflow tract stenting during neonatal and infancy periods: A multi-center, retrospective study

2020 ◽  
Vol 28 (3) ◽  
pp. 442-449
Author(s):  
İbrahim Cansaran İbrahim Cansaran Tanıdır
Keyword(s):  
Right Ventricular ◽  
Right Ventricular Outflow Tract ◽  
Ventricular Outflow Tract ◽  
Double Outlet Right Ventricle ◽  
Outflow Tract ◽  
Complex Congenital Heart Disease ◽  
Total Correction ◽  
Study Results ◽  
Correction Surgery

Background: The aim of this study was to evaluate the outcomes of right ventricular outflow tract stenting for palliation during the newborn and infancy periods. Methods: Between January 2013 and January 2018, a total of 38 patients (20 males, 18 females; median age 51 days; range, 3 days to 9 months) who underwent transcatheter right ventricular outflow tract stenting in three centers were retrospectively analyzed. Demographic characteristics, cardiac pathologies, angiographic procedural, and clinical follow-up data of the patients were recorded. Results: The diagnoses of the cases were tetralogy of Fallot (n=27), double outlet right ventricle (n=8), complex congenital heart disease (n=2), and Ebstein’s anomaly (n=1). The median weight at the time of stent implantation was 3.5 (range, 2 to 10) kg. Five cases had genetic abnormalities. The median pre-procedural oxygen saturation was 63% (range, 44 to 80%), and the median procedural time was 60 (range, 25 to 120) min. Acute procedural success ratio was 87%. Reintervention was needed in seven of patients due to stent narrowing during follow-up. During follow-up period, seven cases died. Total correction surgery was performed in 26 patients without any mortality. While a transannular patch was used in 22 patients, valve protective surgery was implemented in two patients, and the bidirectional Glenn procedure was performed in two patients. Conclusion: Based on our study results, right ventricular outflow tract stenting is a form of palliation which should be considered particularly in cases in whom total correction surgery is unable to be performed due to morbidity.

scholarly journals Results of Hemodynamic Correction in Patients with Double Outlet Right Ventricle

2019 ◽  
pp. 55-60
Author(s):  
Kh. K. Abralov ◽  
O. Kh. Karimov ◽  
S. O. Siromakha ◽  
I. V. Dziuriy ◽  
Ya. P. Truba ◽  
...  
Keyword(s):  
Right Ventricle ◽  
Tricuspid Valve ◽  
Double Outlet Right Ventricle ◽  
Outflow Tract ◽  
Hemodynamic Parameters ◽  
Mixed Form ◽  
Cavopulmonary Anastomosis ◽  
Common Ventricle ◽  
The Common

Aim. To analyze results of hemodynamic correction in surgical treatment of double outlet right ventricle (DORV). Маterials and methods. For the period from January 1996 to September 2017, 31 (6.03 % of total number of patients with DORV) patients underwent hemodynamic correction of DORV. The age of the patients ranged from 1 to 19 years (71.2 ± 50.5 months on the average). The weight of the patients ranged from 9 to 41 kg (19.6 ± 11.3 kg on the average). Of these, 19 (61.3 %) were male patients and 12 (38.7 %) were female patients. The overwhelming majority (25 (80.6 %)) of the patients were diagnosed with transposition-type DORV. The anatomy of DORV with non-committed ventricular septal defect was observed in 5 (16.1 %) patients. In one patient (3.1 %), the anatomy of DORV (in the form of tetralogy of Fallot) was combined with tricuspid valve atresia. Results. The main reasons of hemodynamic correction in 16 (51.6 %) cases was LV hypoplasia. In 2 cases it was combined with tricuspid valve (TV) straddling, and in 2 cases it was an integral part of the unbalanced form of complete atrio-ventricular communication (AVC). In one case (3.1 %), the unbalanced form of complete AVC was combined with a mixed form of the common ventricle. The mixed form of the common ventricle was the reason of hemodynamic correction in 9 (29 %) patients. In 2 (6.2 %) cases, hemodynamic correction was performed due to the anatomy of the RV hypoplasia. In the remaining 2 patients, anatomy of the common ventricle was not diagnosed, but a combination of other concomitant defects was a contraindication to biventricular correction. Palliative operations (Blalock-Taussig shunt, BTS) as the first stage of correction were performed in 16 (51.6 %) patients. In 2 patients with LV outflow tract obstruction, systemic-pulmonary anastomosis was applied in combination with plastic repair of the great vessel roots using the proprietary technique for elimination of the left ventricular outflow tract (LVOT) stenosis. Bidirectional cavopulmonary anastomosis (BCPA) was applied in 29 (93.5 %) cases. Of these, 4 (13.8 %) patients subsequently underwent total cavopulmonary anastomosis (TCPA) procedure. Two patients with good hemodynamic parameters underwent TCPA without prior palliative procedures. Conclusion. Palliative surgery as the first stage to hemodynamic correction is accompanied by significant improvement in hemodynamic parameters of patients. Application of BCPA as the second stage of hemodynamic correction provides good results and is required to prepare the patient for TCPA. The long-term period is characterized by improvement in the quality of life in patients with complex DORV. In the long-term period, 85.2 % of patients are classified as NYHA FC I.

scholarly journals Mortality Risk Factors in Tetralogy of Fallot Patients Undergoing Total Correction

2021 ◽  
Vol 57 (2) ◽  
pp. 151
Author(s):  
Juliana Juliana ◽  
Yan Efrata Sembiring ◽  
Mahrus Abdur Rahman ◽  
Heroe Soebroto
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Oxygen Saturation ◽  
Tetralogy Of Fallot ◽  
Mortality Risk ◽  
Operative Risk ◽  
Average Height ◽  
Low Oxygen ◽  
Total Correction ◽  
Ventilator Time

A total correction is a preferred treatment for Tetralogy of Fallot patients in every part of the world. However, the mortality in developing countries was as high as 6.9% to 15.3%. This was a retrospective analytic study that analyzed pre and post-operative risk factors that affected mortality on TOF patients that were performed total correction in Indonesia. A total of 47 TOF patients that were performed total correction from January 2016 to September 2019 were enrolled in this study based on the inclusion criteria. Preoperative and post-operative data were obtained from medical records. In this research, the majority of mortality was found in male patients (39.3%), while the female’s rate was lower (36.8%). Overall mortality was 38.3% and one operative death was found. The average age of patients was 84.12 months (12-210 months), whereas the average height (85.56 ± 36.17cm vs. 112.93 ± 21.73) and weight (17.22kg vs. 28.21kg) were lower for mortality patients. Some significant preoperative variables were identified as mortality risk factors such as: age below 60 months (p=0.047), smaller weight and height (p=0.008; p=0.002), abnormal hematocrit (p=0.002), and oxygen saturation below 75% (p=0.018). Significant post-operative risk factors included: temperature above 38.5⁰C (p=0.000), and ventilator time of more than 48 hours (p=0.033). In conclusion, the mortality of TOF patients undergoing a total correction in developing countries was quite high. It was associated with some risk factors, such as younger age, lower weight and height, low oxygen saturation, post-operative fever, and prolonged ventilator time.

Sign in / Sign up

Export Citation Format

Share Document