Surgical results of patients with a functional single ventricle

Abstract

This study revealed that the overall survival was disappointing and there were still problems that need to be solved in the pre-Fontan stage to improve the overall survival. The role of BCPS was not to contribute to the longer survival after Fontan operation, but to lower mortality in the pre-Fontan stage, which can offer a higher probability to proceed to the Fontan procedure successfully.

Functional single ventricle with extracardiac total anomalous pulmonary venous connection☆

“…However, the treatment of patients with functional single ventricle and total anomalous pulmonary venous connection (TAPVC), especially obstructed TAPVC, has remained a clinical challenge [1]. The majority of patients with functional single ventricle and TAPVC have heterotaxy syndrome with right atrial isomerism (RAI), which may contribute to a poor prognosis [2,3].…”

Predictors of Survival After Single-Ventricle Palliation

“…treatment were not applied (9). Considerable improvement in the surgical management of hypoplastic left heart syndrome (HLHS) has been repeatedly reported (5,6,10 -12), but it is unclear whether progress has been limited to this specific condition.…”

Single stage versus two stage repair for univentricular heart—our experience

“…Similar series at both the University of Michigan [5] and the University of Utah [10] have also reported good results in performing the staged Fontan operation with an operative mortality rate of less than 8%. Lee and colleague in their study have found a lower actuarial mortality (16.3 vs. 41.3%, p, 0:001) for the Fontan operation in the group in which the Fontan procedure was finished via Bidirectional Cavopulmonary Shunt (BCPS) than in the group finished without BCPS [11]. Masuda et al [7] reported a lower mortality and the higher probability to complete the Fontan procedure when using a preliminary [12] in their study of 75 patients have found higher mortality of 14.2% vs. 7.4% in the group of two stage TCPC than in the primary TCPC group.…”