Correction of the univentricular heart having two atrioventricular valves.
Problems associated with the early evolution of corrective operation (septation) for univentricular heart (single or common ventricle) are illustrated in a total experience of 36 such operations, 30 of which were recent. Complete heart block existed preoperatively in five of the 30 patients and developed at operation in another 10; only two of these 15 patients attained a satisfactory result. Associated pulmonary stenosis was present in 16 patients, and this seemed to influence the result favorably. An extracardiac conduit between the right-sided ventricular chamber and the distal pulmonary trunk was employed in 20 patients. The presence of associated anomalies, including function of the atrioventricular valves in seven, had a highly unfavorable influence on the result. Although all seven of the most favorable candidates attained a satisfactory result, only 13 (43 percent) in the total group of 30 attained a satisfactory result. Further evolution of this operation, as in previous operations for complex congenital heart disease, should provide more results that are satisfactory.
D000293:Adolescent; D000328:Adult; D001807:Blood Vessel Prosthesis; D006328:Cardiac Catheterization; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography; D005260:Female; D006327:Heart Block / Q000175:diagnosis; D006330:Heart Defects, Congenital / Q000145:classification / Q000601:surgery*; D006333:Heart Failure / Q000401:mortality; D006346:Heart Septum / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male; D008722:Methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000401:mortality; D013536:Suture Techniques; D014261:Tricuspid Valve / Q000002:abnormalities*; D014262:Tricuspid Valve Insufficiency / Q000401:mortality