An analysis of the range of postoperative complications following cavapulmonary anastomosis reveals a number of medical engineering problems in surgery techniques. The severity of the surgery due to the nonphysiological rearrangement of blood circulation makes it necessary to search for the most optimal types of anastomosis in terms of the hemo- and hydrodynamics of circulation. To optimize the performance of cavapulmonary anastomosis, namely to define the mutual localization and orientation of the implanted anastomoses against the axes of inflow and outflow, hemo- and hydrodynamic studies were made by Doppler laser anemometry. From the hydrodynamic point of view, the findings indicate the most optimal type of cavapulmonary anastomosis-cruciform anastomosis by displacing 0.5 d from the outflow axis at an angle of 60ë5 degrees.
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The investigation objective was to improve the patients’ management, suffering a single cardiac ventriculus, in whom a total cavа-pulmonary connection (ТСРС) operation was performed together with correction of the atrio-ventricular valves (AVV) insufficiency, basing on analysis of immediate and middle-term results. From 2005 to 2015 yrs in the clinic the ТСРС operation was performed in 132 patients. Of them 24 patients were choosed , in whom moderate and pronounced insufficiency of systemic AVV was diagnosed.
View Article and Find Full Text PDFThe method of prediction the enability of closure atrial septal defect before operation or in pre-bypass period during the one and one-half ventricle repair of CHD with hypoplastic right ventricle was presented. The method is based on comparison of the initial blood flow on superior vena cava (SVC) and right-to-left shunt at atrial level. Defect can be closed if flow on SVC and shunt flow are approximately equal.
View Article and Find Full Text PDFArq Bras Cardiol
December 2012
Department of Cardiothoracic Surgery, The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, Fujian Province, China.
Contegra, a bovine jugular vein graft, has been widely used as a preferable biomaterial in the surgical treatment of congenital heart defects, especially as a conduit for the right ventricular outflow tract reconstruction. This article aims to make a comprehensive review on the clinical outcomes of Contegra. Reports of Contegra published since 2002 were comprehensively retrieved, collected and analyzed.
View Article and Find Full Text PDFEur J Cardiothorac Surg
May 2012
Department of Thoracic Surgery, Istanbul University, Istanbul Medical School, Istanbul, Turkey.
Transcaval extension of the thymoma to the right atrium has very rarely been reported, and cardiopulmonary bypass is recommended for successful resection. An invasive thymoma with intravascular invasion of the superior vena cava, and the left innominate vein extending into the right atrium was presented. Intra-atrial extension was resected through a transient external shunt from the inferior vena cava to the main pulmonary artery.
View Article and Find Full Text PDFJ Thorac Cardiovasc Surg
June 2011
Department of Cardiology, Children's Hospital, Boston, MA 02115, USA.
Objective: Pulmonary arteriovenous malformations are an important but uncommon complication of cavopulmonary connection, particularly in patients with heterotaxy. Absence of hepatic venous effluent in pulmonary arterial blood seems to be a predisposing factor. Pulmonary arteriovenous malformations are most common after superior cavopulmonary anastomosis, but may develop, progress, or persist in 1 lung after Fontan completion if hepatic venous blood streams completely or primarily to the contralateral lung.
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