Factors determining early outcomes after the bidirectional superior cavopulmonary anastomosis.

摘要: The bidirectional Glenn (BDG) procedure is a step in multistage palliation of univentricular heart (UVH). We aimed to report the factors determining outcomes following BDG. Two hundred fifteen consecutive patients, 5.29 ± 5 years (range 1 month 38 years, median 3 years) age, weighing 13 ± 8.8 kg 2.6 51 kg, 10 kg) with variable forms UVH underwent BDG from 2003 2013. Their clinical records were reviewed retrospectively. most common anatomic diagnoses tricuspid atresia (n = 87, 40.5%) and double outlet right ventricle (n = 78, 36%). Dextrocardia was present 21 (9.86%) patients. Median left pulmonary (PA) PA diameters 6 7 mm, respectively. One sixty-two (77%) patients received unilateral BDG, 45 had bilateral antegrade blood flow closed 199 open 16 Concomitant procedures reconstruction arteries for non-confluent (n = 28), atrial septectomy (n = 15), atrioventricular valve repair (n = 12) partial anomalous venous connection (n = 1). A total 37% (n = 80) mean post-operative saturation 90 ± 3.2%. There four (1.86%) early deaths. Mean pressure 14.7 ± 3.5 mm Hg, inotropic score Vasoactive (VIS) 1.64 ± 0.96 2.77 ± 2.63, intensive care unit stay 24.1 ± 26.4 10–240) h, duration hospital 7.15 ± 3.2 days. at time discharge 92.4 ± 2.2% on follow-up 82 ± 2.16%. Follow-up cardiac catheterization data available 123 (60.3%). Sixty-nine (33.8%) completion Fontan, 135 or waiting Fontan completion. can be performed safely acceptable mortality. Age presentation, artery size VIS not related Younger similar but longer stay. Patients preserved higher saturations. Those undergoing without cardiopulmonary bypass lower scores.