Damus-Kaye-Stansel with cavopulmonary connection for single ventricle and subaortic obstruction

摘要: Abstract Infants with single ventricle and transposition of the great arteries or without aortic arch obstruction have a poor prognosis due in large part to development systemic outflow obstruction, frequent consequence pulmonary artery banding. Thus, initial palliation long-term treatment options are critical terms surgical choices timing. We report our experience 9 patients managed by neonatal banding early debanding, Damus-Kaye-Stansel procedure, either modified Glenn shunt Fontan procedure. Some evidence subaortic stenosis developed every patient as manifested resting gradient across tract (21.4 ± 4.2 mm Hg), small ventricular septal defect relative body surface area (1.57 0.39 cm 2 /m ), root cross-sectional (0.70 0.04 ). There were 1 death late after With exception patient, in-hospital course survivors was relatively uncomplicated. Two levotransposition required pacemakers. None residual obstruction. is trivial mild pulmonic insufficiency 5 patients, which not progressing. One had moderate but died presumably an arrhythmia. conclude that coupled planned cavopulmonary anastomosis low-risk for this complex physiology.