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Fontan operation and the cavopulmonary technique. Immediate and late results according to the presence of atrial fenestration
Atik, Edmar; Ikari, Nana Miura; Martins, Tamara Cortez; Barbero-Marcial, Miguel.
Afiliação
  • Atik, Edmar; Universidade de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. Instituto do Coraçäo. Säo Paulo. BR
  • Ikari, Nana Miura; Universidade de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. Instituto do Coraçäo. Säo Paulo. BR
  • Martins, Tamara Cortez; Universidade de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. Instituto do Coraçäo. Säo Paulo. BR
  • Barbero-Marcial, Miguel; Universidade de Säo Paulo. Faculdade de Medicina. Hospital das Clínicas. Instituto do Coraçäo. Säo Paulo. BR
Arq. bras. cardiol ; 78(2): 162-166, Feb. 2002. tab, graf
Artigo em Inglês | LILACS | ID: lil-303900
Biblioteca responsável: BR1.1
RESUMO

OBJECTIVE:

To compare immediate and late results in patients with or without fenestration who underwent cavopulmonary anastomosis so that we could assess the efficiency of the technique.

METHODS:

Sixty-two patients underwent surgery between 1988 and 1999, 41 with fenestration (group I -G I) and 21 without fenestration (group II -G II). Tricuspid atresia was prevalent in group I (23-56 percent) and single ventricle was prevalent in group II (14-66 percent). Mean ages at the time of operation were 7.3 years in group I and 7.6 in group II. At late follow-up, mean ages were 10.6 years in group I and 12.8 years in group II.

RESULTS:

Immediate and late mortality were 7.3 percent in G-I and 4.7 percent in G-II. Significant pleural effusion occurred in 41.4 percent of G-I patients and in 23.8 percent of G-II patients. Significant pericardial effusion occurred in 29.2 percent and 14.2 percent, respectively, in groups I and II. Central venous pressure was greater in G-II, 17.7 cm in H2O, as opposed to 15 cm in G-I. Hospital stay was similar between the groups, 26.3 and 21.8 days, respectively. Cyanosis and arterial insaturation occurred in 5 patients, and 4 patients were in functional class II, all from G-I. At late follow-up, 58 (93.5 percent) were in functional class I. Sinus rhythm was present in 94 percent, and pulmonary perfusion was similar in both groups. Eleven patients who underwent spirometry had good tolerance to physical effort.

CONCLUSION:

Atrial fenestration did not improve the immediate or late follow-up of patients who underwent cavopulmonary anastomosis, and is, therefore, dispensable
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Derivação Cardíaca Direita / Átrios do Coração / Cardiopatias Congênitas Limite: Criança / Feminino / Humanos / Masculino Idioma: Inglês Revista: Arq. bras. cardiol Assunto da revista: Cardiologia Ano de publicação: 2002 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade de Säo Paulo/BR

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Derivação Cardíaca Direita / Átrios do Coração / Cardiopatias Congênitas Limite: Criança / Feminino / Humanos / Masculino Idioma: Inglês Revista: Arq. bras. cardiol Assunto da revista: Cardiologia Ano de publicação: 2002 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade de Säo Paulo/BR
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