The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 3 , Pages 522-528.e1 , September 2010

Impact of evolving strategy on clinical outcomes and central pulmonary artery growth in patients with bilateral superior vena cava undergoing a bilateral bidirectional cavopulmonary shunt

Read at the Thirty-fifth Annual Meeting of the Western Thoracic Surgical Association, June 24-27, 2009, Banff, Alberta, Canada.

  • Osami Honjo, MD, PhD

      Affiliations

    • The Labatt Family Heart Centre, The Hospital for Sick Children, and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Kim-Chi D. Tran, MD

      Affiliations

    • The Labatt Family Heart Centre, The Hospital for Sick Children, and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Zhongdong Hua, MD

      Affiliations

    • Department of Cardiovascular Surgery, Beijing Fuwai Hospital, Beijing, China
    • ,
  • Priya Sapra

      Affiliations

    • The Labatt Family Heart Centre, The Hospital for Sick Children, and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Abdullah A. Alghamdi, MD

      Affiliations

    • The Labatt Family Heart Centre, The Hospital for Sick Children, and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Jennifer L. Russell, MD

      Affiliations

    • The Labatt Family Heart Centre, The Hospital for Sick Children, and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Christopher A. Caldarone, MD

      Affiliations

    • The Labatt Family Heart Centre, The Hospital for Sick Children, and the University of Toronto, Toronto, Ontario, Canada
    • ,
  • Glen S. Van Arsdell, MD

      Affiliations

    • The Labatt Family Heart Centre, The Hospital for Sick Children, and the University of Toronto, Toronto, Ontario, Canada
    • Corresponding Author InformationAddress for reprints: Glen S. Van Arsdell, MD, Division of Cardiovascular Surgery, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, Canada, M5G 1X8.

Received 19 June 2009 ,Revised 29 March 2010 ,Accepted 12 April 2010.

References 

  1. Choussat A, Fontan F, Besse P, Vallot F, Chauve A, Bricaud H. Selection criteria for Fontan's procedure. In:  Anderson RH,  Shinebourne EA editor. Pediatric Cardiology. Edinburgh: Churchill Livingstone; 1977;p. 559–566
  2. McElhinney DB, Reddy VM, Moore P, Hanley FL. Bidirectional cavopulmonary shunt in patients with anomalies of systemic and pulmonary venous drainage. Ann Thorac Surg. 1997;63:1676–1684
  3. Azakie A, Merklinger SL, Williams WG, Van Arsdell GS, Coles JG, Adatia I. Improving outcomes of the Fontan operation in children with atrial isomerism and heterotaxy syndromes. Ann Thorac Surg. 2001;72:1636–1640
  4. Gandy K, Hanley F. Management of systemic venous anomalies in the pediatric cardiovascular surgical patient. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006;63–74
  5. Iyer GK, Van Arsdell GS, Dicke FP, McCrindle BW, Coles JG, Williams WG. Are bilateral superior vena cavae a risk factor for single ventricle palliation?. Ann Thorac Surg. 2000;70:711–716
  6. Nakata S, Imai Y, Takanashi Y, Kurosawa H, Tezuka K, Nakazawa M, et al. A new method for the quantitative standardization of cross-sectional areas of the pulmonary arteries in congenital heart diseases with decreased pulmonary blood flow. J Thorac Cardiovasc Surg. 1984;88:610–619
  7. Amodeo A, Grigioni M, Gagliardi MG, Del Gaudio C, Morbiducci U, D'Avenio G, et al. Improved management of systemic venous anomalies in a single ventricle: new rationale. J Thorac Cardiovasc Surg. 2009;138:1154–1159
  8. Reddy VM, McElhinney DB, Moore P, Haas GS, Hanley FL. Outcomes after bidirectional cavopulmonary shunt in infants less than 6 months old. J Am Coll Cardiol. 1997;29:1365–1370
  9. Frommelt MA, Frommelt PC, Berger S, Pelech AN, Lewis DA, Tweddell JS, et al. Does an additional source of pulmonary blood flow alter outcome after a bidirectional cavopulmonary shunt?. Circulation. 1995;92(Suppl):II240–II244
  10. Amodeo A, Di Donato RM. The unifocal bilateral bidirectional cavopulmonary anastomosis. Ann Thorac Surg. 2007;84:2134–2135

 Disclosures: None.

PII: S0022-5223(10)00550-7

doi: 10.1016/j.jtcvs.2010.04.036

The Journal of Thoracic and Cardiovascular Surgery
Volume 140, Issue 3 , Pages 522-528.e1 , September 2010

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