scholarly journals Perioperative Management of Staged Palliation Surgery for Functional Univentricle Hearts: A Literature Review

2021 ◽  
Author(s):  
Moira Setiawan ◽  
Suprayitno Wardoyo ◽  
Dhama Shinta Susanti ◽  
William Makdinata ◽  
* Ardiansyah
Keyword(s):  
Survival Rate ◽  
Literature Review ◽  
Congenital Heart ◽  
Perioperative Management ◽  
Heart Diseases ◽  
Fontan Procedure ◽  
Surgical Techniques ◽  
Postoperative Management ◽  
First Year ◽  
Congenital Heart Diseases

Around 3-4 children born with congenital heart diseases have univentricular hearts, where the prognosis of univentricular hearts is poor in the past, with a survival rate of less than 50% during the first year and 10% during the first ten years of life. Based on a literature search, current advances in perioperative management of neonates with complex congenital heart diseases have increased their survival rate by 85%. To aid cardiothoracic surgeons worldwide, this comprehensive literature review will focus on the perioperative management of staged palliation surgery for functional univentricular hearts, considering current trends as well as how we do it in our centre. Our review article specifially discusses perioperative strategies regarding surgical considerations, current techniques, to deal with overshunting and undershunting during the first stage of palliation surgery. This article also gives an overview on when a patient is suitable to go through with the next stage of the procedure, which is the implementation of a bidirectional cavopulmonary shunt or the Hemi-Fontan procedure. Lastly, this article gives a comprehensive approach regarding perioperative strategies of the Fontan procedure, which include patient criteria, current surgical techniques, postoperative management, as well as the use of anticoagulants after the Fontan procedure.

scholarly journals Structure of unoperated congenital heart diseases in children of Zabaikalsky Territory

2020 ◽  
pp. 83-89
Author(s):  
A.V. Ignatieva ◽  
◽  
O.F. Sibira ◽  
I.N. Gaimolenko ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Exclusion Criterion ◽  
First Year ◽  
Congenital Heart Diseases ◽  
Significance Level ◽  
Septal Defects ◽  
Stage 1 ◽  
First Time

The aim of the research is to study the morbidity by appealability and some characteristics of congenital heart diseases in children of Zabaikalsky Territory. Material and methods. A retrospective clinical and anamnestic analysis of children with congenital heart diseases without surgical treatment, who were hospitalized, was carried out. The analysis included 3 year-observation. CHD diagnosed is an inclusion criterion; while surgical treatment of heart diseases is exclusion criterion. Statistical data processing was carried out using Microsoft Excel 2007, Statistica v.10.0 software package. χ2 test (Pearson) was used to compare two independent groups by qualitative characteristics. The results were considered statistically significant (reliable) at the achieved significance level of p <0.05. Results. In Zabaikalsky Territory, approximately 200 children with congenital heart disease without surgical treatment are hospitalized annually; the average age is 3 years. Fifty-three per cent of children applied for inpatient care for the first time, 44% of them were children at their first year. Gender distribution indicates the highest incidence of the pathology in girls. In CHD structure, atrial septal defects are on the first place, while interventricular septal defects are on the second. Combination of ASD and IVSD was observed with approximately equal frequency. Chronic heart failure associated with CHD was registered in 77% of children. In most cases CHF, stage 1, was diagnosed (63%). In 2/3 of cases, pulmonary hypertension of various severity was detected. Analysis of place of residence of children with CHD in the Zabaikalsky Territory shows that children from areas with the highest population density are hospitalized more often. Conclusion. The problem of congenital heart diseases in children of Zabaikalsky Territory is of current importance due to the widespread prevalence and high specific gravity among all internal organ defects in children of this region.

Repairing the tricuspid valve in congenital heart diseases other than Ebstein’s

2014 ◽  
Vol 24 (6) ◽  
pp. 1077-1087
Author(s):  
Ali Dodge-Khatami ◽  
Constantine D. Mavroudis ◽  
Jennifer Frost ◽  
Jeffrey P. Jacobs ◽  
Constantine Mavroudis
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Tricuspid Valve ◽  
Congenital Anomalies ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Surgical Techniques ◽  
Congenital Heart Diseases ◽  
Right Heart ◽  
The Right

AbstractThe tricuspid valve is being increasingly recognised as an important safeguard to the heart with congenital heart disease. Both structural anomalies of the valve and functional burdens from other malformations of the right heart can lead to major haemodynamic consequences both upstream and downstream. The indications to surgically intervene on the tricuspid valve are evolving and vary depending on the malformation. The extant surgical techniques and their applications to corresponding frequent congenital anomalies of the tricuspid valve are reviewed.

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