[Peroperative evaluation of pulmonary vascular resistance by cavo-pulmonary bypass. Value of atrio- and cavo-pulmonary diversions].
Immediate and long-term results of the Fontan procedure depend on the value of the pulmonary vascular resistance. This parameter cannot always be quantified accurately during preoperative evaluation. Cavo-pulmonary bypass using an extra corporeal circulation allowed simulation a Fontan procedure in 5 patients, and prediction of the pressure changes in the pulmonary artery and the systemic atrium according to the pulmonary to systemic resistances ratio. This technique could be valuable in border line cases for deciding on the optimal therapeutic solution.
Planché
C
C
Service de chirurgie thoracique et cardiovasculaire (cardiopathies congénitales), centre chirurgical Marie-Lannelongue, Le Plessis-Robinson.
Serraf
A
A
Bruniaux
J
J
Lacour-Gayet
F
F
Daniel
J P
JP
Sousa-Uva
M
M
Petit
J
J
D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005112:Extracorporeal Circulation; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D011651:Pulmonary Artery; D011667:Pulmonary Veins; D014655:Vascular Resistance; D014683:Vena Cava, Superior / Q000601:surgery
Evaluation peropératoire des résistances vasculaires pulmonaires par bypass cavo-pulmonaire. Intérêt dans les dérivations atrio- et cavo-pulmonaires.