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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2015 / Cilt: 23 - Sayı: 4

Kardiyopulmoner baypassız bidireksiyonel kavopulmoner anastomoz

Bidirectional cavopulmonary anastomosis without cardiopulmonary bypass

Muhammet AKYÜZ
Mahir BALAKISHIEV
Onur IŞIK
Yüksel ATAY
Mehmet Fatih AYIK
Pages
613–616
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The cavopulmonary bidirectionalanastomosis without cardiopulmonary bypass with thesupport of a cavoatrial shunt is a feasible and safe method.It also eliminates the adverse effects of cardiopulmonarybypass.

📌 3 Key Takeaways

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Objective & Hypothesis:Background: In this article, we present the results of an off- pump cavoatrial shunt technique to creat a cavopulmonarybidirectional anastomosis.
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Key Findings & Data:Methods: Thirty-eight consecutive patients (18 boys, 20girls; mean age 14.9±16.8 months; range 4 months to 2.5years) with univentricular heart physiology underwentan off-pump cavopulmonary bidirectional anastomosisbetween April 2003 and November 2012.
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Conclusion & Impact:Conclusion: The cavopulmonary bidirectionalanastomosis without cardiopulmonary bypass with thesupport of a cavoatrial shunt is a feasible and safe method.It also eliminates the adverse effects of cardiopulmonarybypass.
🔬Design:Research Article
📍Scope:2003 Verileri
⚙️Variables:Domain Parameters

Abstract

Background: In this article, we present the results of an off- pump cavoatrial shunt technique to creat a cavopulmonarybidirectional anastomosis. Methods: Thirty-eight consecutive patients (18 boys, 20girls; mean age 14.9±16.8 months; range 4 months to 2.5years) with univentricular heart physiology underwentan off-pump cavopulmonary bidirectional anastomosisbetween April 2003 and November 2012. The mean weightduring surgery was 8.3±3.6 kg. The mean preoperativeoxygen saturation and pulmonary artery pressure were70.7±9.4% and 14.0±3.8 mmHg, respectively. Results: There was no surgery-related mortality. Themean superior vena cava clamping time and the mean venacava pressure during clamping were 24.3±4.7 minutes and26.9±5.5 mmHg, respectively. There were no postoperativeneurological complications or dysrhythmias. The meanpostoperative saturation was 85.9±5.9%. There were fourpostoperative deaths. The mean length of intensive care unitstay was two days. Follow-up echocardiography showedfunctioning cavopulmonary bidirectional anastomosiswithout any obstruction. Conclusion: The cavopulmonary bidirectionalanastomosis without cardiopulmonary bypass with thesupport of a cavoatrial shunt is a feasible and safe method.It also eliminates the adverse effects of cardiopulmonarybypass.

Özet

Amaç: Bu çalışmada bidireksiyonel kavopulmoner anastomoz oluşturmak için atan kalpte kavoatriyal şant tekniğinin sonuçları sunuldu. Ça­lış­ma­pla­nı:­Nisan 2003 - Kasım 2012 tarihleri arasında tek ventrikül kalp fizyolojisi olan 38 ardışık hastaya(18 erkek, 20 kız; ort. yaş 14.9±16.8 ay; dağılım 4 ay - 2.5yıl) atan kalpte bidireksiyonel kavopulmoner anastomozuygulandı. Ameliyat sırasında ortalama vücut ağırlığı8.3±3.6 kg idi. Ameliyat öncesi ortalama oksijen satürasyonu ve pulmoner arter basıncı sırasıyla %70.7±9.4 ve14.0±3.8 mmHg idi. Bul gu lar: Ameliyata bağlı mortalite görülmedi. Ortalamavena kava superior klemp zamanı ve klemp sırasında venakava basıncı sırasıyla 24.3±4.7 dakika ve 26.9±5.5 mmHgidi. Ameliyat sonrası nörolojik komplikasyon veya ritimbozuklukları görülmedi. Ameliyat sonrası oksijen satürasyonu %85.9±5.9 idi. Ameliyat sonrası dört hasta kaybedildi. Ortalama yoğun bakım ünitesinde kalış süresi ikigün idi. Takip ekokardiyografisinde herhangi bir tıkanıklık olmaksızın, fonksiyonel bidireksiyonel kavopulmoneranastomoz izlendi. So nuç: Kavoatriyal şant desteği ile kardiyopulmonerbaypas kullanılmadan bidireksiyonel kavopulmoner anastomozu uygulanabilir ve güvenli bir yöntemdir. Ayrıca,kardiyopulmoner baypasın olumsuz etkilerini de ortadankaldırır.

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Cite This Article

AKYÜZ, M., BALAKISHIEV, M., IŞIK, O., ATAY, Y., AYIK, M. F. (2022). Kardiyopulmoner baypassız bidireksiyonel kavopulmoner anastomoz. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 23 - Sayı: 4, 613–616. https://ajindex.com/articles/424159

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