| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Division of Cardiothoracic Surgery and Pediatric Cardiology, Louisiana State University and Children's Hospital, New Orleans, Louisiana
Accepted for publication June 2, 2008.
* Address correspondence to Dr Caspi, Children's Hospital, 200 Henry Clay Ave, New Orleans, LA 70118 (Email: caspij{at}aol.com).
Background: The Norwood-Sano procedure for hypoplastic left heart syndrome (HLHS) has been associated with improved postoperative hemodynamics and outcome. This study compared the effect of a Blalock-Taussig shunt with right ventricular-pulmonary artery (RV-PA) conduit before bidirectional Glenn on the development of the PAs.
Methods: Between January 2000 and June 2007, 42 patients with HLHS underwent bidirectional Glenn: 19 (mean age, 7 ± 1.5 months) had a Blalock-Taussig shunt (3.5 mm in 15; and 4 mm in 4); 23 patients (mean age, 5 ± 1 month) had RV-PA conduit (5-mm tube). Patients underwent postoperative cardiac catheterization and echocardiograms.
Results: Total PA (Nakata) index was 192 ± 10 mm2/m2 in the Blalock-Taussig group and 238 ± 18 mm2/m2 in the RV-PA conduit group (p = 0.03). In the RV-PA conduit patients, the left and right PAs had comparable diameters. In the Blalock-Taussig group, the left PA was smaller than the right (p = 0.02). The mean PA pressure at the end of the operation was 14 ± 2 mm Hg in the Blalock-Taussig group and 11 ±1 mm Hg in the RV-PA conduit group (p = 0.06). Persistent pleural effusion occurred in 4 Blalock-Taussig patients (21%) and in 1 (4%) with RV-PA conduit (p < 0.05). Postoperative arterial oxygen saturation was 80% ± 2% in the RV-PA conduit group and 74% ± 2% in the Blalock-Taussig group (p < 0.05).
Conclusions: The Norwood procedure with RV-PA conduit may have favorable effects on the development of the PA due to even distribution of pulmonary blood flow.
This article has been cited by other articles:
|
|
 |
|
  J. Kolcz, T. Skladzien, Z. Kordon, A. Rudzinski, and J. Skalski Impact of right ventricle-pulmonary artery conduit placement on the pulmonary arteries development after the Norwood procedure in hypoplastic left heart syndrome Eur J Cardiothorac Surg, January 18, 2012; (2012) ezr293v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. A. Feinstein, D. W. Benson, A. M. Dubin, M. S. Cohen, D. M. Maxey, W. T. Mahle, E. Pahl, J. Villafane, A. B. Bhatt, L. F. Peng, et al. Hypoplastic left heart syndrome current considerations and expectations. J. Am. Coll. Cardiol., January 3, 2012; 59(1 Suppl): S1 - S42. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. M. Mery, D. J. LaPar, M. D. Seckeler, R. S. Chamberlain, J. J. Gangemi, I. L. Kron, and B. B. Peeler Pulmonary Artery and Conduit Reintervention Rates After Norwood Using a Right Ventricle to Pulmonary Artery Conduit Ann. Thorac. Surg., October 1, 2011; 92(4): 1483 - 1489. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Januszewska, R. Kozlik-Feldmann, R. Dalla-Pozza, S. Greil, J. Abicht, H. Netz, B. Reichart, and E. Malec Right ventricle-to-pulmonary artery shunt related complications after Norwood procedure Eur J Cardiothorac Surg, September 1, 2011; 40(3): 584 - 590. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. C. Fiore, C. Tobin, S. Jureidini, M. Rahimi, E. S. Kim, and K. Schowengerdt A Comparison of the Modified Blalock-Taussig Shunt With the Right Ventricle-to-Pulmonary Artery Conduit Ann. Thorac. Surg., May 1, 2011; 91(5): 1479 - 1485. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. G. Raja, I. Atamanyuk, and V. T. Tsang Impact of Shunt Type on Growth of Pulmonary Arteries After Norwood Stage I Procedure: Current Best Available Evidence World Journal for Pediatric and Congenital Heart Surgery, January 1, 2011; 2(1): 90 - 96. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. C. Ginestar, F. S. Martinez, J. A. M. Argudo, and J. M. C. Calvar Norwood-Sano Operation Using a Stentless Pulmonary Valved Conduit World Journal for Pediatric and Congenital Heart Surgery, January 1, 2011; 2(1): 133 - 135. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Kaltman, D. B. Andropoulos, P. A. Checchia, J. W. Gaynor, T. M. Hoffman, P. C. Laussen, R. G. Ohye, G. D. Pearson, F. Pigula, J. Tweddell, et al. Report of the Pediatric Heart Network and National Heart, Lung, and Blood Institute Working Group on the Perioperative Management of Congenital Heart Disease Circulation, June 29, 2010; 121(25): 2766 - 2772. [Full Text] [PDF]
|
|
|
|
 |
|
 S. G. Raja, I. Atamanyuk, M. Kostolny, and V. Tsang In hypoplastic left heart patients is Sano shunt compared with modified Blalock-Taussig shunt associated with deleterious effects on ventricular performance? Interact CardioVasc Thorac Surg, April 1, 2010; 10(4): 620 - 624. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Bockeria, D. Berishvili, and S. Krupianko eComment: Re: In hypoplastic left heart patients is Sano shunt compared with modified Blalock-Taussig shunt associated with deleterious effects on ventricular performance? Interact CardioVasc Thorac Surg, April 1, 2010; 10(4): 623 - 624. [Full Text] [PDF]
|
|
|
|
 |
|
 O. Petrucci, P. R. Khoury, P. B. Manning, and P. Eghtesady Outcomes of the bidirectional Glenn procedure in patients less than 3 months of age J. Thorac. Cardiovasc. Surg., March 1, 2010; 139(3): 562 - 568. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Santoro, G. Capozzi, G. Caianiello, M. T. Palladino, C. Marrone, G. Farina, M. G. Russo, and R. Calabro Pulmonary Artery Growth After Palliation of Congenital Heart Disease With Duct-Dependent Pulmonary Circulation: Arterial Duct Stenting Versus Surgical Shunt J. Am. Coll. Cardiol., December 1, 2009; 54(23): 2180 - 2186. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
