Pre‐ and post‐operative cardiovascular CT in Stage I single ventricle palliation

2021 ◽  
Author(s):  
Sheba John ◽  
Laura Schoeneberg ◽  
Christopher E. Greenleaf ◽  
Jorge D. Salazar ◽  
Dilachew A. Adebo
Keyword(s):  
Single Ventricle ◽  
Stage I ◽  
Single Ventricle Palliation ◽  
Cardiovascular Ct

Single Ventricle Palliation in a Developing Sub-Saharan African Country: What Should be Improved?

2019 ◽  
Vol 10 (2) ◽  
pp. 164-170 ◽  
Author(s):  
Valdano Manuel ◽  
Humberto Morais ◽  
Aida L. R. Turquetto ◽  
Gade Miguel ◽  
Leonardo A. Miana ◽  
...  
Keyword(s):  
Confidence Interval ◽  
African Country ◽  
Single Ventricle ◽  
Hazard Ratio ◽  
Stage I ◽  
Stage Ii ◽  
Stage Iii ◽  
Lost To Follow Up ◽  
Single Ventricle Palliation

Introduction: Single ventricle physiology management is challenging, especially in low-income countries. Objective: To report the palliation outcomes of single ventricle patients in a developing African country. Methods: We retrospectively studied 83 consecutive patients subjected to single ventricle palliation in a single center between March 2011 and December 2017. Preoperative data, surgical factors, postoperative results, and survival outcomes were analyzed. The patients were divided by palliation stage: I (pulmonary artery banding [PAB] or Blalock–Taussig shunt [BTS]), II (Glenn procedure), or III (Fontan procedure). Results: Of the 83 patients who underwent palliation (stages I-III), 38 deaths were observed (31 after stage I, six after stage II, and one after stage III) for an overall mortality of 45.7%. The main causes of operative mortality were multiple organ dysfunction due to sepsis, shunt occlusion, and cardiogenic shock. Twenty-eight survivors were lost to follow-up (22 after stage I, six after stage II). Thirteen stage II survivors are still waiting for stage III. The mean follow-up was 366 ± 369 days. Five-year survival was 28.4 % for PAB and 30.1% for BTS, while that for stage II and III was 49.8% and 57.1%, respectively. Age (hazard ratio, 0.61; 95% confidence interval: 0.47-0.7; P = .000) and weight at surgery (hazard ratio, 0.45; 95% confidence interval: 0.31-0.64; P = .002) impacted survival. Conclusion: A high-mortality rate was observed in this initial experience, mainly in stage I patients. A large number of patients were lost to follow-up. A task force to improve outcomes is urgently required.

Single-ventricle palliation for high-risk neonates: examining the feasibility of an automated home monitoring system after stage I palliation

2012 ◽  
Vol 8 (2) ◽  
pp. 227-235 ◽  
Author(s):  
Russell Cross ◽  
Rachel Steury ◽  
Amy Randall ◽  
Mary Fuska ◽  
Craig Sable
Keyword(s):  
High Risk ◽  
Monitoring System ◽  
Single Ventricle ◽  
Home Monitoring ◽  
Stage I ◽  
Single Ventricle Palliation

scholarly journals Single-ventricle palliation for high-risk neonates: The emergence of an alternative hybrid stage I strategy

2006 ◽  
Vol 131 (1) ◽  
pp. 163-171.e2 ◽  
Author(s):  
Emile A. Bacha ◽  
Suanne Daves ◽  
Joel Hardin ◽  
Ra-id Abdulla ◽  
Jennifer Anderson ◽  
...  
Keyword(s):  
High Risk ◽  
Single Ventricle ◽  
Stage I ◽  
Single Ventricle Palliation

scholarly journals Critical Ebstein’s anomaly with circular shunt: from successful fetal therapy with non-steroidal anti-inflammatory drugs to biventricular repair using Da Silva cone technique

2021 ◽  
pp. 1-4
Author(s):  
Lilian M. Lopes ◽  
Rodrigo F. Bezerra ◽  
Jose Pedro da Silva ◽  
Luciana da Fonseca da Silva
Keyword(s):  
Single Ventricle ◽  
Ductus Arteriosus ◽  
Ebstein’S Anomaly ◽  
Biventricular Repair ◽  
Fetal Demise ◽  
Ebstein's Anomaly ◽  
Gestational Week ◽  
Inflammatory Drugs ◽  
Anti Inflammatory ◽  
Single Ventricle Palliation

Abstract We report an innovative treatment strategy for fetal Ebstein’s anomaly with a circular shunt. We used transplacental non-steroidal anti-inflammatory drugs, at the 29th gestational week, to constrict the ductus arteriosus avoiding fetal demise. We addressed the critical neonate with an urgent Starnes procedure. Finally, instead of following the usual single-ventricle palliation pathway after the Starnes procedure, we achieved successful two-ventricle repair with the cone technique at 5 month old.

scholarly journals Single institution experience with the Ladd’s procedure in patients with heterotaxy and stage I palliated single-ventricle

2016 ◽  
Vol 5 (3) ◽  
pp. 319 ◽  
Author(s):  
Kurt D Piggott ◽  
Grace George ◽  
Harun Fakioglu ◽  
Carlos Blanco ◽  
Sukumar Saguna Narasimhulu ◽  
...  
Keyword(s):  
Single Ventricle ◽  
Stage I ◽  
Single Institution ◽  
Ladd’S Procedure

scholarly journals MELD-XI SCORE AND FONTAN FAILURE IN PATIENTS WITH SINGLE VENTRICLE PALLIATION FOR COMPLEX CONGENITAL HEART DISEASE

2011 ◽  
Vol 57 (14) ◽  
pp. E409
Author(s):  
Gabriele Egidy Assenza ◽  
Kimberlee Gauvreau ◽  
Dionne Graham ◽  
Michael Job Landzberg ◽  
Koenraad J. Mortele ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Single Ventricle ◽  
Complex Congenital Heart Disease ◽  
Fontan Failure ◽  
Single Ventricle Palliation
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