Are bilateral superior vena cavae a risk factor for single ventricle palliation?
作者： Ganeshakrishnan K.T Iyer , Glen S Van Arsdell , Frank P Dicke , Brian W McCrindle , John G Coles
DOI: 10.1016/S0003-4975(00)01627-1
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摘要: Abstract Background . Performing superior vena cava-to-pulmonary artery anastomosis, in the presence of bilateral cavae, can be technically challenging. Our clinical observation has been that cavae are a risk factor for poor outcome children needing single ventricle palliation. Methods Detailed operative, angiographic, and follow-up data were analyzed 39 undergoing cavopulmonary anastomosis (b-CPA). Overall was compared to 274 having unilateral anastomoses (u-CPA). Results Nine patients (23%) with found have thrombus circulation after b-CPA. Postoperative mean arterial oxygen saturation significantly lower those who had [69% ± 10% versus 82% 7%, ( p = 0.02]). Conclusions Bilateral is associated an increased formation unfavorable growth central pulmonary arteries. Modifications surgical technique may alter flow patterns, thereby optimizing diminishing formation. Anticoagulation therapy important adjunct
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