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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1994-8-25
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pubmed:abstractText |
A modified Senning technique was used for intraatrial channeling of the systemic venous blood into the pulmonary arteries to create a Fontan circulation in 26 children, six with tricuspid atresia and 20 with complex congenital heart disease. In this technique a flap of atrial free wall tissue is used to create an atrial tunnel without artificial material. Eight patients had subaortic stenosis and required a Damus-Kay-Stansel procedure, in addition. Early mortality was two of 26 and late mortality one of 26. Pleural effusion was encountered in 17 of 26 patients, of whom four had a pericardial effusion, in addition. One patient required pacemaker implantation for complete atrioventricular block. Follow-up ranged from 2 months to 5 years. In this period the ability level index rose by one level. No thrombi were encountered in the right atrium/cavopulmonary tunnel. One patient required antiarrhythmic medication. Protein-losing enteropathy was diagnosed in one patient. Conclusion: This modified Senning technique has the advantage of avoiding the use of prosthetic material in the creation of a Fontan circulation and the potential for fewer long-term complications.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0022-5223
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
108
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
377-80
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8041186-Adolescent,
pubmed-meshheading:8041186-Arteriovenous Shunt, Surgical,
pubmed-meshheading:8041186-Cardiac Surgical Procedures,
pubmed-meshheading:8041186-Child,
pubmed-meshheading:8041186-Child, Preschool,
pubmed-meshheading:8041186-Follow-Up Studies,
pubmed-meshheading:8041186-Heart Atria,
pubmed-meshheading:8041186-Heart Defects, Congenital,
pubmed-meshheading:8041186-Humans,
pubmed-meshheading:8041186-Infant,
pubmed-meshheading:8041186-Pulmonary Artery,
pubmed-meshheading:8041186-Treatment Outcome,
pubmed-meshheading:8041186-Tricuspid Valve,
pubmed-meshheading:8041186-Vena Cava, Inferior,
pubmed-meshheading:8041186-Vena Cava, Superior
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pubmed:year |
1994
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pubmed:articleTitle |
The modified Senning operation for cavopulmonary connection with autologous tissue.
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pubmed:affiliation |
Department of Cardiopulmonary Surgery, Sint Radboud University Hospital, Nijmegen, The Netherlands.
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pubmed:publicationType |
Journal Article
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