Right ventricular outflow construction for complex congenital cardiac malformations without cardiopulmonary bypass: management and outcome of 44 patients.
A review of surgical and anesthetic techniques used in 44 consecutive patients to establish continuity between the right ventricle and pulmonary circulation, without extracorporeal circulation, as a first-stage repair in a variety of selected complex congenital cardiac lesions with right ventricular outflow obstruction, is presented. The overall operative mortality rate was 9% (four deaths), but no deaths occurred in the last 24 patients. Eleven patients (27.5%) have subsequently undergone complete repair and one patient (2.5%) underwent a Fontan repair. The advantages, anesthetic concerns, complications, and outcome are discussed.
Hosking
M P
MP
Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905.
Oliver
W C
WC
Beynen
F
F
Raimundo
H S
HS
D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000769:Anesthesia, Inhalation / Q000379:methods / Q000592:standards; D000771:Anesthesia, Intravenous / Q000379:methods / Q000592:standards; D006348:Cardiac Surgical Procedures / Q000379:methods* / Q000401:mortality / Q000592:standards; D002315:Cardiopulmonary Bypass; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D011664:Pulmonary Valve / Q000002:abnormalities*; D015996:Survival Rate; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000601:surgery*