[Total cavopulmonary anastomosis in the surgical treatment of congenital heart defects with a functional single ventricle].
Total cavopulmonary connection (TCPC) allows surgical treatment of patients with complex univentricular heart disease. Between 1991 and 1993 this operation was performed in 15 cyanotic children with complex heart defects. Age range was 3.5-14 (median 8.3) years. In 5 children with increased operative risk a calibrated interatrial fenestration was created intraoperatively to allow systemic venous decompression. Three patients (20%) died. In remaining 12 patients a significant increase in arterial oxygen saturation and decrease of polycythemia was encountered. All patients remain in a good clinical condition 1-25 months after operation. Noninvasive investigation including echocardiography confirmed good function of the heart.
Horváth
P
P
Kardiocentrum, Fakultní nemocnice, Motole, Praha.
Hucín
B
B
Tláskal
T
T
Kostelka
M
M
Reich
O
O
Janousek
J
J
Marek
J
J
Hruda
J
J
Chaloupecký
V
V
D000293:Adolescent; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D014684:Venae Cavae / Q000601:surgery*
Uplná kavopulmonální anastomóza pri chirurgické lécbĕ vrozených srdecních vad s funkcnĕ spolecnou komorou.