Damus-Kaye-Stansel procedure: Midterm follow-up and technical considerations
The Damus-Kaye-Stansel operation is useful in the management of complex congenital heart defects. We reviewed our experience with 23 patients who underwent a Damus-Kaye-Stansel procedure. The anastomotic technique was individualized depending on the anatomy. The aortic and pulmonary artery incisions...
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| Veröffentlicht in: | The Annals of thoracic surgery 1994-12, Vol.58 (6), p.1603-1608 |
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| container_title | The Annals of thoracic surgery |
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| creator | Carter, Thomas L. Mainwaring, Richard D. Lamberti, John J. |
| description | The Damus-Kaye-Stansel operation is useful in the management of complex congenital heart defects. We reviewed our experience with 23 patients who underwent a Damus-Kaye-Stansel procedure. The anastomotic technique was individualized depending on the anatomy. The aortic and pulmonary artery incisions were carried into the sinuses of Valsalva in 9 patients, the aorta was transeted in 11 patients, and a patch was used to augment the anastomosis in 13 patients. Concurrent procedures included a Fontan operation (n = 9, mortality = 0), right ventricle-pulmonary artery conduit (n = 5, mortality = 0), bidirectional Glenn procedure (n = 6, mortality = 1), and central aortopulmonary shunt (n = 3, mortality = 2; emergency = 1). Survival is 87% with a median follow-up of 7 years (range, 2 months to 9.2 years). Four patients underwent late revision of the Damus-Kaye-Stansel connection. All survivors are asymptomatic. We conclude that the Damus-Kaye-Stansel connection provides excellent midterm results when the proximal anastomosis is adapted to the anatomy of the patient. |
| doi_str_mv | 10.1016/0003-4975(94)91641-1 |
| format | Article |
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We reviewed our experience with 23 patients who underwent a Damus-Kaye-Stansel procedure. The anastomotic technique was individualized depending on the anatomy. The aortic and pulmonary artery incisions were carried into the sinuses of Valsalva in 9 patients, the aorta was transeted in 11 patients, and a patch was used to augment the anastomosis in 13 patients. Concurrent procedures included a Fontan operation (n = 9, mortality = 0), right ventricle-pulmonary artery conduit (n = 5, mortality = 0), bidirectional Glenn procedure (n = 6, mortality = 1), and central aortopulmonary shunt (n = 3, mortality = 2; emergency = 1). Survival is 87% with a median follow-up of 7 years (range, 2 months to 9.2 years). Four patients underwent late revision of the Damus-Kaye-Stansel connection. All survivors are asymptomatic. We conclude that the Damus-Kaye-Stansel connection provides excellent midterm results when the proximal anastomosis is adapted to the anatomy of the patient.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/0003-4975(94)91641-1</identifier><identifier>PMID: 7979722</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anastomosis, Surgical - methods ; Aorta - surgery ; Biological and medical sciences ; Cardiac Surgical Procedures - methods ; Cardiology. Vascular system ; Child ; Child, Preschool ; Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava ; Follow-Up Studies ; Heart ; Heart Defects, Congenital - mortality ; Heart Defects, Congenital - surgery ; Humans ; Infant ; Infant, Newborn ; Medical sciences ; Pulmonary Artery - surgery ; Retrospective Studies ; Survival Rate</subject><ispartof>The Annals of thoracic surgery, 1994-12, Vol.58 (6), p.1603-1608</ispartof><rights>1994 The Society of Thoracic Surgeons</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-c47a626c35b48362a793177ce411abe0e330ab75ac5781d48605f40bb026bc023</citedby><cites>FETCH-LOGICAL-c422t-c47a626c35b48362a793177ce411abe0e330ab75ac5781d48605f40bb026bc023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3387760$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7979722$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Carter, Thomas L.</creatorcontrib><creatorcontrib>Mainwaring, Richard D.</creatorcontrib><creatorcontrib>Lamberti, John J.</creatorcontrib><title>Damus-Kaye-Stansel procedure: Midterm follow-up and technical considerations</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>The Damus-Kaye-Stansel operation is useful in the management of complex congenital heart defects. We reviewed our experience with 23 patients who underwent a Damus-Kaye-Stansel procedure. The anastomotic technique was individualized depending on the anatomy. The aortic and pulmonary artery incisions were carried into the sinuses of Valsalva in 9 patients, the aorta was transeted in 11 patients, and a patch was used to augment the anastomosis in 13 patients. Concurrent procedures included a Fontan operation (n = 9, mortality = 0), right ventricle-pulmonary artery conduit (n = 5, mortality = 0), bidirectional Glenn procedure (n = 6, mortality = 1), and central aortopulmonary shunt (n = 3, mortality = 2; emergency = 1). Survival is 87% with a median follow-up of 7 years (range, 2 months to 9.2 years). Four patients underwent late revision of the Damus-Kaye-Stansel connection. All survivors are asymptomatic. We conclude that the Damus-Kaye-Stansel connection provides excellent midterm results when the proximal anastomosis is adapted to the anatomy of the patient.</description><subject>Anastomosis, Surgical - methods</subject><subject>Aorta - surgery</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Cardiology. Vascular system</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart Defects, Congenital - mortality</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Medical sciences</subject><subject>Pulmonary Artery - surgery</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotVbfQGEWIroYzT0zLgSpV6y4UNchkzmDkbnUZEbp25va0qUEkhP-7xwOH0KHBJ8TTOQFxpilPFfiNOdnOZGcpGQLjYkQNJVU5NtovEF20V4In_FLYzxCI5XHQ-kYzW5MM4T0ySwgfe1NG6BO5r6zUA4eLpNnV_bgm6Tq6rr7SYd5Ytoy6cF-tM6aOrFdG1wJ3vQuVvtopzJ1gIP1O0Hvd7dv04d09nL_OL2epZZT2sdbGUmlZaLgGZPUqJwRpSxwQkwBGBjDplDCWKEyUvJMYlFxXBSYysJiyiboZDU3bvo1QOh144KFujYtdEPQSmYiE1JEkK9A67sQPFR67l1j_EITrJcS9dKQXhrSOdd_EjWJbUfr-UPRQLlpWluL-fE6NyFaqLxprQsbjLFMKYkjdrXCILr4duB1sA7a6NZ5sL0uO_f_Hr8JFoy3</recordid><startdate>19941201</startdate><enddate>19941201</enddate><creator>Carter, Thomas L.</creator><creator>Mainwaring, Richard D.</creator><creator>Lamberti, John J.</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19941201</creationdate><title>Damus-Kaye-Stansel procedure: Midterm follow-up and technical considerations</title><author>Carter, Thomas L. ; Mainwaring, Richard D. ; Lamberti, John J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-c47a626c35b48362a793177ce411abe0e330ab75ac5781d48605f40bb026bc023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Anastomosis, Surgical - methods</topic><topic>Aorta - surgery</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Cardiology. Vascular system</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart Defects, Congenital - mortality</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Medical sciences</topic><topic>Pulmonary Artery - surgery</topic><topic>Retrospective Studies</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carter, Thomas L.</creatorcontrib><creatorcontrib>Mainwaring, Richard D.</creatorcontrib><creatorcontrib>Lamberti, John J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carter, Thomas L.</au><au>Mainwaring, Richard D.</au><au>Lamberti, John J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Damus-Kaye-Stansel procedure: Midterm follow-up and technical considerations</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1994-12-01</date><risdate>1994</risdate><volume>58</volume><issue>6</issue><spage>1603</spage><epage>1608</epage><pages>1603-1608</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>The Damus-Kaye-Stansel operation is useful in the management of complex congenital heart defects. We reviewed our experience with 23 patients who underwent a Damus-Kaye-Stansel procedure. The anastomotic technique was individualized depending on the anatomy. The aortic and pulmonary artery incisions were carried into the sinuses of Valsalva in 9 patients, the aorta was transeted in 11 patients, and a patch was used to augment the anastomosis in 13 patients. Concurrent procedures included a Fontan operation (n = 9, mortality = 0), right ventricle-pulmonary artery conduit (n = 5, mortality = 0), bidirectional Glenn procedure (n = 6, mortality = 1), and central aortopulmonary shunt (n = 3, mortality = 2; emergency = 1). Survival is 87% with a median follow-up of 7 years (range, 2 months to 9.2 years). Four patients underwent late revision of the Damus-Kaye-Stansel connection. All survivors are asymptomatic. We conclude that the Damus-Kaye-Stansel connection provides excellent midterm results when the proximal anastomosis is adapted to the anatomy of the patient.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>7979722</pmid><doi>10.1016/0003-4975(94)91641-1</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Anastomosis, Surgical - methods Aorta - surgery Biological and medical sciences Cardiac Surgical Procedures - methods Cardiology. Vascular system Child Child, Preschool Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Follow-Up Studies Heart Heart Defects, Congenital - mortality Heart Defects, Congenital - surgery Humans Infant Infant, Newborn Medical sciences Pulmonary Artery - surgery Retrospective Studies Survival Rate |
| title | Damus-Kaye-Stansel procedure: Midterm follow-up and technical considerations |
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