title: [Long-term surgical results of total cavopulmonary connection in children with visceral heterotaxy syndrome; comparison between lateral tunnel method and extracardiac conduit method].
abstract: We reviewed our 58 experience of total cavopulmonary connection (TCPC) for children with visceral heterotaxy syndrome from 1992 to 1999. Surgical results, pre- and post-operative hemodynamics, and the incidence of cardiac-related events were compared between lateral tunnel method (LT) and extra-cardiac conduit method (EC). Overall survival rate was 89.6% in 8 years. Freedom from cardiac-related events was significantly lower in LT method compared with EC method (70.8% vs. 91.3% in 5 years and 67.8% vs. 91.3% in 8 years, p = 0.048). Extra-cardiac conduit TCPC following bi-directional Glenn shunt is the procedure of choice for children with visceral heterotaxy syndrome and functional single ventricle.
authors.affiliation: Fukuoka Children's Hospital, Fukuoka, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Nakano
authors.forename: H
authors.initials: H
authors.lastname: Kado
mesh_terms: D019917:Blood Vessel Prosthesis Implantation / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D018729:Fontan Procedure / Q000401:mortality; D018610:Heart Bypass, Right / Q000401:mortality; D006352:Heart Ventricles / Q000002:abnormalities* / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D011138:Polytetrafluoroethylene; D012857:Situs Inversus / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate; D013577:Syndrome
chemical_list: D011138:Polytetrafluoroethylene