Augmentation of pulmonary blood flow with an axillary arteriovenous fistula after a cavopulmonary shunt [PDF]
Of 320 children with cyanotic congenital heart malformations who had previously undergone cavopulmonary shunt operations, 11 had increasing cyanosis and exercise intolerance and were considered unsuitable for definitive repair, a Fontan procedure, or ...
Sim, Eugene +5 more
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Transparavertebral Occlusion of a Large Venovenous Collateral in a Fontan Patient
ABSTRACT Patients with a univentricular heart following completion of the Fontan circulation often experience varying degrees of desaturation due to the formation of venovenous collaterals. We present a rare case of a Fontan patient with an enlarged azygous vein shunting into the pulmonary venous system, causing significant desaturation. As no standard
Michal Jičínský +2 more
wiley +1 more source
Understanding Stage II Bidirectional Cavopulmonary Shunts
Despite improvements in surgical technique and medical management, single-ventricle lesions remain one of the most challenging congenital heart anomalies to treat, and mortality rates are high.
Linda G. Fazari +2 more
core +1 more source
Hypoventilation improves oxygenation after bidirectional superior cavopulmonary connection [PDF]
ObjectiveBidirectional superior cavopulmonary connection may be complicated by systemic hypoxemia. Previous work has shown that hyperventilation worsens systemic oxygenation in patients after bidirectional superior cavopulmonary connection.
Bradley, Scott M +2 more
core +1 more source
Early Versus Later Bicavopulmonary Connection in Infants: A Systematic Review and Meta‐Analysis
Background The bicavopulmonary connection (BCPC) is a crucial palliation for single‐ventricle physiology, improving haemodynamics by alleviating ventricular volume overload. While traditionally performed at 4–6 months, the optimal timing is debated, with a trend toward earlier intervention to reduce interstage mortality.
Abdullah Almehandi +8 more
wiley +1 more source
BACKGROUND Controversy continues over whether additional sources of pulmonary blood flow are beneficial in combination with a bidirectional cavopulmonary anastomosis.
Belli E +4 more
core +1 more source
Hemodynamics and arteriovenous malformations in cavopulmonary anastomosis: The case for residual antegrade pulsatile flow [PDF]
ObjectivesContinuous flow in Fontan circulation results in impairment of pulmonary artery endothelial function, increased pulmonary vascular resistance, and, potentially, late failure of Fontan circulation.
Vergnat, Mathieu +6 more
core +1 more source
Clinical and Imaging Predictors of Poor Prognosis in Ebstein Anomaly
Abstract Ebstein anomaly is a rare congenital heart condition characterized by the partial or complete absence of tricuspid valve delamination, a variable degree of “atrialization” of the right ventricle, and a redundant anterior leaflet with fenestrations.
Nabil Dib +9 more
wiley +1 more source
Congenital heart disease: types, pathophysiology, diagnosis, and treatment options
In this review, we provide an update of the pathophysiology, diagnosis, and treatment in most common type of CHD, including patent foramen ovale, atrial septal defect, ventricular septal defect, atrioventricular septal defect, patent ductus arteriosus, coarctation of the aorta, transposition of the great arteries, corrected transposition of the great ...
Xiao Meng +6 more
wiley +1 more source
One and a half ventricle repair: clinical and animal study [PDF]
SUMMARY Since the first description of the so called “one and a half ventricle repair”, published by Billingsly et al. in 1989 1, this type of correction has been applied to several complex congenital cardiac anomalies.
Bhattarai, Anil
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