Thirty-year follow-up of superior vena cava-pulmonary artery (Glenn) shunts

Kopf, Gary S.; Laks, Hillel; Stansel, H.C.; Hellenbrand, William E.; Kleinman, Charles S.; Talner, Norman S.

doi:10.1016/s0022-5223(19)35463-7

Cited by 164 publications

(100 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Bilateral Congenit Heart Dis. 2011;6: [28][29][30][31][32][33][34][35][36][37][38][39][40] SVCs were present in 42 patients (55%), while 15 (19%) had a single right SVC and 20 (26%) had a single left SVC. Angiograms in the IVC/azygous system were available for review in 41 patients, abdominal computed tomography scans in seven, and complete abdominal ultrasound examination in 12.…”

Section: Systemic Venous Anomaliesmentioning

confidence: 99%

“…Unilateral superior CPA was introduced in the 1950s by Glenn and his associates as a means of providing pulmonary blood flow in patients with complex cyanotic heart disease, and for many years the "classic Glenn shunt" was used as long-term palliative therapy. [38][39][40] In 1973, Mathur and Glenn first recognized PAVMs as a complication of this circulation. 40 39,42 After introduction of the bidirectional Glenn procedure in the late 1980s, the classic Glenn shunt was largely abandoned.…”

Section: Pavms Associated With Cpa:the Hepatic Factor Hypothesismentioning

confidence: 99%

“…[38][39][40] In 1973, Mathur and Glenn first recognized PAVMs as a complication of this circulation. 40 39,42 After introduction of the bidirectional Glenn procedure in the late 1980s, the classic Glenn shunt was largely abandoned. In the current era of systemically staged univentricular palliation, the bidirectional Glenn circulation is typically converted to a modified Fontan procedure within a few years.…”

Section: Pavms Associated With Cpa:the Hepatic Factor Hypothesismentioning

confidence: 99%

“…For example, PAVMs have been reported to resolve after Fontan completion in patients with a bidirectional superior CPA, 32,33 after creation of a brachial arteriovenous fistula in patients with unidirectional CPA, 46 after restoration of pulmonary arterial continuity in patients with a modified Fontan Congenit Heart Dis. 2011;6: [28][29][30][31][32][33][34][35][36][37][38][39][40] procedure that includes a unilateral superior CPA, 47 after Fontan pathway modification to eliminate unilateral hepatic venous streaming, 36 and after cardiac transplant. 48…”

Section: Pavms Associated With Cpa:the Hepatic Factor Hypothesismentioning

confidence: 99%

See 3 more Smart Citations

Congenital Portosystemic Venous Connections and Other Abdominal Venous Abnormalities in Patients with Polysplenia and Functionally Univentricular Heart Disease: A Case Series and Literature Review

McElhinney

Marx

Newburger

2011

Congenital Heart Disease

View full text Add to dashboard Cite

PSVC and other abdominal venous anomalies may be clinically important but under-recognized in patients with IVC interruption and univentricular heart disease. In such patients, preoperative evaluation of the abdominal systemic venous system may be valuable. More data are necessary to determine whether there is a pathophysiologic connection between the polysplenia variant of heterotaxy, PSVC, and cavopulmonary anastomosis-associated pulmonary arteriovenous malformations.

show abstract

Section: Systemic Venous Anomaliesmentioning

confidence: 99%

Section: Pavms Associated With Cpa:the Hepatic Factor Hypothesismentioning

confidence: 99%

Section: Pavms Associated With Cpa:the Hepatic Factor Hypothesismentioning

confidence: 99%

Section: Pavms Associated With Cpa:the Hepatic Factor Hypothesismentioning

confidence: 99%

See 2 more Smart Citations

Congenital Portosystemic Venous Connections and Other Abdominal Venous Abnormalities in Patients with Polysplenia and Functionally Univentricular Heart Disease: A Case Series and Literature Review

McElhinney

Marx

Newburger

2011

Congenital Heart Disease

View full text Add to dashboard Cite

show abstract

“…Still in every center of adult congenital heart disease, many patients who underwent only palliation are followed and in some of them the outcome into middle adult life is very satisfactory, but reports on systematic long-term follow-up are lacking. [1][2][3] In order to assess life expectancy, complications, and causes of death, we analyzed all our patients who reached adult life after having had only palliative surgery in early childhood at our center. patients, more than once in 3 of them.…”

mentioning

confidence: 99%

Late Follow-up of Patients Who Underwent Palliation for Complex Congenital Heart Disease in Childhood

Hoffmann¹,

Wyler

Günthard

et al. 2008

Congenital Heart Disease

View full text Add to dashboard Cite

We report on a series of 12 patients with complex congenital heart disease who had reached adult life after surgical palliation in early childhood and who were systematically followed by clinical visits. Patients were born between 1953 and 1979 and were followed up into 2007. All patients had complex lesions with single ventricle physiology and were palliated either by banding of the pulmonary artery or by creation of systemic-pulmonary shunts. Single operations were performed in 4 cases, and 8 patients had 1 or more further palliative interventions. Late corrective surgery and heart transplantation were performed in 1 patient each. Eight survivors reached a mean age of 36 years at follow-up (range 28-48), whereas 4 patients died at a mean age of 32 years (range 22-53). All patients were in New York Heart Association classes II and III. Complications during follow-up were bacterial endocarditis (3), cerebrovascular accidents (3), arrhythmias (3), need for pacemakers (2). Deaths occurred perioperatively at transplant (1), or were caused by sudden death (2), and hypoxia related to fall in blood pressure (1). Successful pregnancies occurred in 3 patients with healthy (small) babies delivered by cesarean section in 2 of them, and vaginal delivery in 1. The course of life in these patients shows not only a wide spectrum with good quality of life in some of them but also a large number of potentially severe complications. Survival beyond 50 years is rare.

show abstract

References

2003

The Natural and Modifed History of Congenital Heart Disease

View full text Add to dashboard Cite

Thirty-year follow-up of superior vena cava-pulmonary artery (Glenn) shunts

Cited by 164 publications

References 15 publications

Congenital Portosystemic Venous Connections and Other Abdominal Venous Abnormalities in Patients with Polysplenia and Functionally Univentricular Heart Disease: A Case Series and Literature Review

Congenital Portosystemic Venous Connections and Other Abdominal Venous Abnormalities in Patients with Polysplenia and Functionally Univentricular Heart Disease: A Case Series and Literature Review

Late Follow-up of Patients Who Underwent Palliation for Complex Congenital Heart Disease in Childhood

References

Contact Info

Product

Resources

About