Factors influencing perioperative morbidity during palliation of the univentricular heart

摘要: Background The modified Fontan procedure has become the treatment of choice for patients born with a univentricular heart. Although operative mortality steadily decreased in recent years, hospital stay is still prolonged many due to fluid retention and pleural effusions. Methods We retrospectively analyzed subsets undergoing bidirectional cavopulmonary shunt (BDCPS) an attempt define factors influencing morbidity. Results Multivariate analysis 64 BDCPS revealed that age 6 months or less, concomitant operation, mean pulmonary pressure 15 mm Hg artery ratio 1.8:1 less were not statistically significant indicators risk. Abnormal architecture was predictor early late death ( p ≤ 0.01). Retrospective 71 no relationship between duration effusions at preoperative oxygen saturation, pressure, ventricular end-diastolic prior BDCPS. Patients important aortopulmonary collateral vessels defined by angiography had drainage. Selective use total extracardiac conduit fenestrated resulted low overall statistical differences different modifications procedure. Conclusions These data indicate risk quite if appropriate patient selected. factor after Aortopulmonary are associated Important should be occluded before during