Does the persistence of pulsatile antegrade pulmonary blood flow following bidirectional Glenn procedure affect long term outcome?

To evaluate outcomes of the Glenn procedure with or without pulsatile antegrade pulmonary blood flow during palliation of patients with functionally single ventricles. The clinical records of 111 consecutive patients who underwent a bidirectional Glenn procedure for palliation of single ventricle mo...

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Veröffentlicht in:European journal of cardio-thoracic surgery 2015-01, Vol.47 (1), p.154-158
Hauptverfasser: Chen, Qiang, Tulloh, Robert, Caputo, Massimo, Stoica, Serban, Kia, Matina, Parry, Andrew J
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Sprache:eng
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Zusammenfassung:To evaluate outcomes of the Glenn procedure with or without pulsatile antegrade pulmonary blood flow during palliation of patients with functionally single ventricles. The clinical records of 111 consecutive patients who underwent a bidirectional Glenn procedure for palliation of single ventricle morphologies at our institution between 1997 and 2010 were reviewed. We specifically excluded infants with the diagnosis of hypoplastic left heart syndrome. Following the Glenn procedure, there were 57 patients (Group 1) with and 54 (Group 2) without antegrade pulmonary blood flow. We reviewed their long term data from our database to determine whether the presence of forward flow after the Glenn procedure affected outcome. There was 1 early hospital death (in Group 1). The mean SaO2 at discharge was higher in Group 1 (83%±2 vs 78%±4; P
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezu170