Superior Vena Cava—Right Pulmonary Artery Anastomosis in Cyanotic Heart Disease

Wg, Young; Wc, Sealy; Ws, Houck; Re, Whalen; Ms, Spach; Rv, Canent

doi:10.1097/00000658-196306000-00007

Cited by 13 publications

(3 citation statements)

References 7 publications

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“…39 In the past, older children and adolescents with tricuspid atresia and other forms of balanced single-ventricle physiology underwent Fontan completion as a single-stage palliation. 40 Timing of the SCPA varies among centers. However, with the interposition of the hemi-Fontan procedure, operative survival increased substantially.…”

Section: Stage Ii: Palliationmentioning

confidence: 99%

“…Indeed, the Glenn superior vena caval-right pulmonary artery anastomosis was utilized most often to palliate tetralogy of Fallot, Ebstein's anomaly, and tricuspid atresia. 40 Timing of the SCPA varies among centers. Reasons to delay the SCPA include persistently elevated pulmonary artery pressures (presuming delayed resolution of newborn pulmonary resistances), small infant size (especially < 4 kg), and anatomic considerations (including bilateral superior vena cavae or interrupted inferior vena cava with azygous continuation).…”

Section: Stage Ii: Palliationmentioning

confidence: 99%

“…Low cardiac output, cyanosis, and early mortality were avoided with the hemi‐Fontan or Glenn anastomosis, first performed in the mid‐1950s for unrelated heart disease (Figure 3). Indeed, the Glenn superior vena caval–right pulmonary artery anastomosis was utilized most often to palliate tetralogy of Fallot, Ebstein's anomaly, and tricuspid atresia 40 …”

Section: Introductionmentioning

confidence: 99%

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Staged Single-ventricle Palliation in 2011: Outcomes and Expectations

Petit

2011

Congenital Heart Disease

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Outcomes for staged palliation for single-ventricle heart disease have improved over the past two decades. As outcomes improve, parental expectations for survival and quality of life have risen accordingly. Nevertheless, the number of interventions and complications these patients must endure remain high. The final surgical destination of the single-ventricle patient, the total cavopulmonary connection (or Fontan operation) successfully separates systemic venous and pulmonary venous blood flow but does so at great cost. Fontan patients remain at significant risk of complications despite what are perceived to be "favorable" hemodynamics. The outcomes in this population are discussed in this review, with particular attention to the history behind our current strategies as well as to recent salient studies.

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Section: Stage Ii: Palliationmentioning

confidence: 99%

Section: Stage Ii: Palliationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Staged Single-ventricle Palliation in 2011: Outcomes and Expectations

Petit

2011

Congenital Heart Disease

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Congenital Heart Disease Classification, Epidemiology, Diagnosis, Treatment, and Outcome

Micheletti

2018

Congenital Heart Disease

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Doppler flow profiles in the right and left pulmonary artery in children with congenital heart disease and a bidirectional cavopulmonary shunt

et al. 1994

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The systolic and diastolic Doppler tracings in the right and left pulmonary artery were analyzed in 10 patients with complex cyanotic congenital heart disease, aged 6 months to 12 years (median 3 years), after employment of a bidirectional cavopulmonary shunt. The postoperative interval ranged from 2 weeks to 1.7 years (median 1.3 years). In children with pulmonary atresia or severe pulmonary stenosis with minimal antegrade pulsatile pulmonary blood flow Doppler echocardiography confirmed a systolic and diastolic bidirectional shunt from the vena cava superior to both pulmonary arteries. In children with pulmonary stenosis, Doppler echocardiography confirmed a systolic shunt only to the right pulmonary artery and a diastolic bidirectional shunt into both pulmonary arteries. As the left pulmonary artery was perfused by the pulsatile transvalvular flow it was difficult to detect a concomitant systolic Glenn-related flow in those patients. Quantitative analysis of the diastolic Doppler tracings revealed a significant difference in the velocity time integral in the right and left pulmonary artery indicating a dominant right lung perfusion in diastole.

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Superior Vena Cava—Right Pulmonary Artery Anastomosis in Cyanotic Heart Disease

Cited by 13 publications

References 7 publications

Staged Single-ventricle Palliation in 2011: Outcomes and Expectations

Staged Single-ventricle Palliation in 2011: Outcomes and Expectations

Congenital Heart Disease Classification, Epidemiology, Diagnosis, Treatment, and Outcome

Doppler flow profiles in the right and left pulmonary artery in children with congenital heart disease and a bidirectional cavopulmonary shunt

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