Tricuspid atresia: Experience in surgical management with a modified cavopulmonary anastomosis

Azzolina, G; Eufrate, S; Pensa, P.

doi:10.1136/thx.27.1.111

Cited by 78 publications

(28 citation statements)

References 3 publications

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“…An initial palliative procedure is often needed during early infancy to control the flow of blood to the lung, and to preserve eligibility for subsequent interventions. The bidirectional Glenn procedure and several modifications of the Fontan procedure have evolved as the standards of care for intermediate and long-term palliation [1][2][3][4][5][6][7][8][9][10][11][12][13]. Many patients have benefited from advances and refinements in these interventions.…”

Section: Introductionmentioning

confidence: 99%

Single ventricle palliation: Greater risk of complications with the Fontan procedure than with the bidirectional Glenn procedure alone

Day

Etheridge

Veasy

et al. 2006

International Journal of Cardiology

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Section: Introductionmentioning

confidence: 99%

Single ventricle palliation: Greater risk of complications with the Fontan procedure than with the bidirectional Glenn procedure alone

Day

Etheridge

Veasy

et al. 2006

International Journal of Cardiology

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“…Após a descrição original da cirurgia de Glenn, sua aplicação clínica, de maneira a anastomosar a veia cava superior terminolateralmente à artéria pulmonar, foi feita por Azzolina et al, 7 em 1972. Na avaliação préoperatória do shunt cavopulmonar estagiado, é fun damental a documentação de pressões intravasculares pulmonares < 15 mmHg.…”

Section: Cateterismo Cardíaco Pré-cirurgia De Glennunclassified

Uso do Sistema Manométrico Miniaturizado Pressure-Wire em Cardiopatias Estruturais Congênitas e Adquiridas

Novaes¹,

Haddad²,

Lemos³

et al. 2014

Rev. Bras. Cardiol. Invasiva

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Introdução: Historicamente, o registro de pressões intravascul ares contribuiu para o desenvolvimento da cardiologia interven cionista. Embora atualmente novos recursos de imagem sejam preponderantes, a medida acurada de pressões intravasculares ainda é essencial em muitos contextos diagnósticos e de afe rição de métodos terapêuticos intervencionistas. Descrevemos a utilização do sistema manométrico miniaturizado (pressure-wire) para obtenção de curvas pressóricas em cardiopatias estru turais congênitas e adquiridas. Métodos: Foram utilizados os sistemas RADI Analyzer ® Xpress (St. Jude Medical Inc., St. Paul, Minnesota, Estados Unidos) e PressureWire ® Certus durante procedimentos com cateteres diagnósticos 5 F reali zados sob anestesia geral e suporte ventilatório em crianças. Traçados manométricos foram obtidos simultaneamente com o pressure-wire e o cateter 5 F em pacientes para os quais era imperativa a decisão terapêutica com base em análise das pressões intravasculares e nos quais não era pos sível obtê las acuradamente pelos métodos convencionais. Resultados: O pressure-wire foi utilizado para obtenção de pres sões intravasculares pulmonares em pacientes com colaterais sistêmicopulmonares, com estenoses angiográficas ou não, e com variadas cardiopatias estruturais, na avaliação de este noses de ramos pulmonares, na localização de estenoses de condutos cirúrgicos (por exemplo: após cirurgia de Rastelli), shunts cirúrgicos (como de BlalockTaussig) e na avaliação préope ratória de derivações cavopulmonares. O procedimento foi realizado com segurança, tendo sido obtidos traçados ma nométricos com qualidade adequada. Conclusões: O sistema manométrico miniaturizado está consagrado no cenário da cardiologia intervencionista, enquanto modalidade diagnóstica complementar para avaliação funcional de lesões coronárias. Esse sistema também constitui método diagnóstico complementar em diversas cardiopatias estruturais, congênitas e adquiridas.DESCRIToRES: Cardiopatias congênitas. Ca te terismo cardíaco. Hemodinâmica. ABSTRACT Use of the Miniature Pressure-Wire Manometric System in Congenital andAcquired Structural Heart Diseases Background: Historically, intravascular pressure recording has contributed to the development of interventional cardiology. Although new imaging resources have gained much attention, accurate intravascular pressure measurement remains essential for the diagnosis and evaluation of interventional therapy methods. We describe the use of the miniature manometric system (pressurewire) to obtain pressure curves in congenital and acquired structural heart diseases. Methods: The Radi Analyzer ® Xpress (St. Jude Medical Inc., St. Paul, MN, USA) and PressureWire ® Certus systems were used in procedures with 5 F catheters under general anesthesia and ventilatory support in children. Manometric tracings were obtained simul taneously from pressure-wire and the 5 F catheter in patients whose therapy strategies were dependent on the analysis of in travascular pressures, and in whom was not possible to obtai...

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“…From this publication onwards, other studies reported such complications 8,9 , decreasing the enthusiasm in regard to the classical Glenn operation, which was then abandoned in favor of the bidirectional Glenn operation 6,10 .…”

Section: Abstract Pulmonary Arteriovenous Fistulae Bidirectional Glementioning

confidence: 99%

“…Azzolina et al 6 performed that operation for the first time, which became known as the bidirectional Glenn operation. The major advantage of this technique was that the right pulmonary artery, not separated from the confluence, allowed the division of the blood volume of the superior vena cava between both lungs.…”

mentioning

confidence: 99%

Contribuição para o diagnóstico e o tratamento das fístulas arteriovenosas pulmonares após a operação de Glenn bidirecional

Santana¹,

Paulista²,

Pontes³

et al. 2004

Arq. Bras. Cardiol.

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ObjectiveTo determine the incidence of pulmonary arteriovenous fistulae (PAVFs) after the bidirectional Glenn operation and the possible independent variables that could influence their appearance; to confirm the use of microbubble contrast echocardiography for the detection of PAVFs; and to test the sensitivity and specificity of pulmonary angiography. MethodsFrom March 1990 to December 1995 patients were operated upon. Their ages ranged from 2 to 132 months (mean, 32.7± 33.6 Conclusion The incidence of PAVFs after the bidirectional Glenn operation was high (37%). The time interval elapsed after the bidirectional Keywords pulmonary arteriovenous fistulae, bidirectional Glenn operation, microbubble contrast echocardiographyCyanogen congenital heart diseases, which behave functionally as univentricular heart, are usually characterized by a poor prognosis, unsatisfactory quality of life, and impossibility of surgical correction that reestablishes the normal cardiac anatomy.In the past 4 decades, several proposals for palliative operations have been tested, initially in experimental animals, and then, if successful, in children with such defects. One of them, the Glenn operation, was based on the principle that systemic venous blood might reach the pulmonary circulation without the participation of the right cardiac cavities. This operation was experimentally proposed by Carlon et al 1 in 1951, successfully performed for the first time by Meshalkin 2 and Bakulev 3 in 1956, and diffused by Glenn 4 in 1958. The classical Glenn operation, as this procedure has been known, remained unaltered for many years. Haller et al 5 experimentally introduced the concept of bilateral partial cavopulmonary anastomosis, in which the continuity between the pulmonary arteries was preserved by a terminolateral anastomosis between the superior vena cava and the right pulmonary artery.Azzolina et al 6 performed that operation for the first time, which became known as the bidirectional Glenn operation. The major advantage of this technique was that the right pulmonary artery, not separated from the confluence, allowed the division of the blood volume of the superior vena cava between both lungs.Mathur and Glenn 7 reported the late evolution of 56 patients out of 63 who underwent the classical Glenn operation and described for the first time the development of pulmonary arteriovenous fistulae in that type of operation. From this publication onwards, other studies reported such complications 8,9 , decreasing the enthusiasm in regard to the classical Glenn operation, which was then abandoned in favor of the bidirectional Glenn operation 6,10 . MethodsFrom March 1990 to December 1995, 59 patients with complex cyanogen congenital heart diseases underwent the bidirectional Glenn operation at our service. Five patients died, 4 immediately after the procedure and one during hospitalization. The 54 survivors comprised the case series of this study. Age, on the occasion of the operation, varied from 2 to 132 (mean, 31.4±33.56; median, 18.5) mont...

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Tricuspid atresia: Experience in surgical management with a modified cavopulmonary anastomosis

Cited by 78 publications

References 3 publications

Single ventricle palliation: Greater risk of complications with the Fontan procedure than with the bidirectional Glenn procedure alone

Single ventricle palliation: Greater risk of complications with the Fontan procedure than with the bidirectional Glenn procedure alone

Uso do Sistema Manométrico Miniaturizado Pressure-Wire em Cardiopatias Estruturais Congênitas e Adquiridas

Contribuição para o diagnóstico e o tratamento das fístulas arteriovenosas pulmonares após a operação de Glenn bidirecional

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Tricuspid atresia: Experience in surgical management with a modified cavopulmonary anastomosis

Cited by 78 publications

References 3 publications

Single ventricle palliation: Greater risk of complications with the Fontan procedure than with the bidirectional Glenn procedure alone

Single ventricle palliation: Greater risk of complications with the Fontan procedure than with the bidirectional Glenn procedure alone

Uso do Sistema Manom&#233;trico Miniaturizado Pressure-Wire em Cardiopatias Estruturais Cong&#234;nitas e Adquiridas

Contribuição para o diagnóstico e o tratamento das fístulas arteriovenosas pulmonares após a operação de Glenn bidirecional

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Uso do Sistema Manométrico Miniaturizado Pressure-Wire em Cardiopatias Estruturais Congênitas e Adquiridas