Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2005-8-22
pubmed:abstractText
The aim of this study was to evaluate an off-pump technique for total cavopulmonary connection. Between May 2000 and June 2004, 16 patients underwent total cavopulmonary connection without cardiopulmonary bypass. There were 8 males and 8 females, with a mean age of 9.8 +/- 6.2 years and a mean weight of 27.7 +/- 14.9 kg. Preoperative percutaneous oxygen saturation was 75% +/- 6%, and pulmonary arterial pressure was 12.6 +/- 2.7 mm Hg. Postoperative outcomes were retrospectively compared with a group of 17 patients who underwent total cavopulmonary connection with an extracardiac conduit under cardiopulmonary bypass. Two patients died early postoperatively. Chylothorax occurred in 2 patients and 3 underwent reoperation for fenestration between the extracardiac conduit and the right atrium in the early postoperative period. All survivors were acyanotic. On discharge from hospital, the percutaneous oxygen saturation breathing air was 95% +/- 3%. Patients in the off-pump group demonstrated significantly shorter extubation time and intensive care unit stay. This connection technique is easy to perform and helpful in the early management of patients with a functional univentricular heart. However, much remains to be learned about this unique physiologic system.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0218-4923
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
225-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16112993-Adolescent, pubmed-meshheading:16112993-Adult, pubmed-meshheading:16112993-Anastomosis, Surgical, pubmed-meshheading:16112993-Blood Pressure, pubmed-meshheading:16112993-Blood Vessel Prosthesis Implantation, pubmed-meshheading:16112993-Child, pubmed-meshheading:16112993-Child, Preschool, pubmed-meshheading:16112993-Chylothorax, pubmed-meshheading:16112993-Female, pubmed-meshheading:16112993-Fontan Procedure, pubmed-meshheading:16112993-Heart Defects, Congenital, pubmed-meshheading:16112993-Humans, pubmed-meshheading:16112993-Male, pubmed-meshheading:16112993-Oxygen, pubmed-meshheading:16112993-Pulmonary Valve Stenosis, pubmed-meshheading:16112993-Respiration, Artificial, pubmed-meshheading:16112993-Retrospective Studies, pubmed-meshheading:16112993-Treatment Outcome
pubmed:year
2005
pubmed:articleTitle
Total cavopulmonary connection with off-pump technique.
pubmed:affiliation
Department of Cardiovascular Surgery, Fu Wai Hospital, Peking Union Medical College, No.167, Beilishi Road, Beijing 100037, China.
pubmed:publicationType
Journal Article, Comparative Study