Long-term follow-up of surgical patients with single-ventricle physiology: prognostic anatomical determinants

1997 ◽  
Vol 5 (5) ◽  
pp. 526-532 ◽  
Author(s):  
R Aeba
Keyword(s):  
Single Ventricle ◽  
Surgical Patients ◽  
Single Ventricle Physiology ◽  
Long Term Follow Up

scholarly journals Value of Follow-Up N-Terminal Probrain Natriuretic Peptide (NT-proBNP) after a Modified Fontan Procedure

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Jianbin Li ◽  
Li Ma ◽  
Minghui Zou ◽  
Wenlei Li ◽  
Xinxin Chen ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Natriuretic Peptide ◽  
Single Ventricle ◽  
Fontan Procedure ◽  
Left Ventricular ◽  
Single Ventricle Physiology ◽  
Long Term Follow Up ◽  
The Right

Objective. To assess the value of N-terminal probrain natriuretic peptide (NT-proBNP) in short-term and long-term follow-up after a modified Fontan procedure. Methods. We retrospectively enrolled children who had undergone a modified Fontan procedure in the Heart Center of Guangzhou Women and Children’s Medical Center from January 2014 to September 2020 and collected data on NT-proBNP values before bidirectional Glenn procedure, before Fontan procedure, and on 1, 3, 7, 30, 90, and 180 days and 1, 2, 3, 4, 5, and 6 year after Fontan procedure. The relationship between changes in NT-proBNP levels and the outcomes in children was analyzed. Results. A total of 108 children (78 boys and 30 girls, mean age: 54.62 ± 29.38 weeks) were included in the analysis. According to one-way analysis of variance, the left ventricular type and biventricular type of single ventricle physiology showed shorter duration on cardiopulmonary bypass during the operation and lower levels of NT-proBNP after the operation than the right ventricular type and univentricular type physiology. Conclusion. NT-proBNP is a good indicator for mid and long-term follow-up after a modified Fontan procedure. The left ventricular type and biventricular type of single ventricle physiology show better mid and long-term benefits from the modified Fontan procedure than the right ventricular type and univentricular type physiology.

Long-term follow-up of patients with common (single) ventricle after palliative surgery

1978 ◽  
Vol 41 (2) ◽  
pp. 390 ◽  
Author(s):  
Douglas S. Moodie ◽  
Abdul J. Tajik ◽  
Donald G. Ritter ◽  
W.Michael O'Fallon
Keyword(s):  
Single Ventricle ◽  
Palliative Surgery ◽  
Long Term Follow Up

Long-term follow-up after staged reconstruction or transplantation for patients with functionally univentricular heart

2004 ◽  
Vol 14 (S1) ◽  
pp. 115-126 ◽  
Author(s):  
Gil Wernovsky ◽  
Maryanne R. K. Chrisant
Keyword(s):  
Single Ventricle ◽  
Univentricular Heart ◽  
Right Heart ◽  
Long Term Follow Up ◽  
Chronic Hypoxemia ◽  
Staged Reconstruction ◽  
Right Heart Bypass

As recently as 35 years ago, children born with a functionally single ventricle were destined to a lifetime of multiple palliative operations, and disrupted growth and development. Physical signs of their cardiac disease were evidenced by chronic hypoxemia, polycythemia, clubbing, small stature, and severely reduced exercise ability. A normal lifestyle, with typical landmarks such as uninterrupted adolescence and potential childbearing, was unlikely. The successful application of right heart bypass by Fontan and Kreutzer in the early 1970s heralded an era of multiple medical and surgical breakthroughs that have systematically improved the quality of life and long-term outlook for these children.

Long term outcome of single ventricle physiology with pulmonary restriction not undergoing Fontan repair

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
F Buendia ◽  
B Ramirez ◽  
P Gallego ◽  
J.M Oliver ◽  
S Montserrat ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Single Ventricle Physiology ◽  
Pulmonary Flow ◽  
Adult Congenital ◽  
Group 3 ◽  
Group 2

Abstract Background Patients with univentricular physiology who do not complete the palliation to Fontan are a heterogeneous group with unknown long term outcome. Aims This study aimed at describing the clinical course and long-term survival of patients with SV physiology with restricted pulmonary flow that had not undergone a Fontan type of repair. Methods From the prospectively maintained databases of the adult congenital cardiac units of five tertiary referral centers, data from all SV physiology patients were obtained. Patients completing a Fontan type palliation or developing Eisenmenger physiology and segmental pulmonary hypertension were excluded. Baseline data were recorded on the first visit at adult congenital heart disease (ACHD) unit. The primary end point was death. Results 101 patients (50.5% females) were identified. Mean age at end of follow up was 39.3±11.3 years. Of these, 45 (44.6%) were unoperated (group 1, restricted forward pulmonary flow with or without pulmonary banding), 38 (37.6%) had undergone a cavopulmonary shunt as a definitive palliation (group 2) and 18 (17.8%) had aortopulmonary shunts (group 3). The main diagnosis was double inlet left ventricle (DILV) (N: 52, 51.5%) and most of the ventricle was left (82.2%). The principal reason for not performing a Fontan repair was mean pulmonary artery pressure >18 mmHg. At initial visit at the ACHD unit patients were 32.2±11.1 years of age. 35% of the patients were in NYHA class III-IV, with no differences between groups. However, patients in group 2 had worse oxygen saturation (p=002) and higher haemoglobin (p=0.037). After a mean follow-up of 7.3±4.1 years, mortality was 20.8% (21 patients), being sudden death (7p, 6.9%) the most frequent cause. Patients in group 3 showed worse ventricular function (p=0.0001) and a trend to higher mortality that did not reach statistical significance (HR 2.7, CI 95% 0.91–8.14, P=0.07). Conclusions Patients with single ventricle physiology not undergoing Fontan repair are a population of high risk, with sudden death as main driver of mortality. Patients palliated with aortopulmonary shunts are prone to worse ventricular function and a trend to higher mortality. Funding Acknowledgement Type of funding source: Public hospital(s)

Long-term Follow-up of Surgical Patients of Microlumbar Discectomy

2014 ◽  
pp. 328-328
Author(s):  
PS Ramani ◽  
Sudhendoo Babhulkar ◽  
Sumeet Pawar ◽  
Shradha Maheshwari
Keyword(s):  
Surgical Patients ◽  
Long Term Follow Up
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