title: The prognostic value of balloon occlusion in candidates for the various types of cavo-pulmonary anastomosis.
abstract: The purpose of our paper is to assess the prognostic value of balloon occlusion as a test for patients with various types of functionally single ventricle after different palliative surgical procedures who were candidates for further modifications of a cavo-pulmonary operation. In all patients, there were at least two sources of pulmonary arterial supply. Our hypothesis was that, using balloon occlusion temporarily to produce changes in the haemodynamic situation, we could simulate the potential state subsequent to surgical palliation. We used balloon occlusion in 19 patients during diagnostic catheterisation, followed by interventional and or surgical procedures as considered necessary. This test was applied for temporary closure of the pulmonary valve in 8 patients, and a Blalock-Taussig anastomosis in 11 patients.
authors.affiliation: Department of Congenital Heart Diseases and Paediatric Cardiology, Silesian Centre for Heart Diseases, Zabrze, Poland. jkusa@poczta.onet.pl
authors.forename: Jacek
authors.initials: J
authors.lastname: Kusa
authors.forename: Ramón
authors.initials: R
authors.lastname: Bermúdez-Cañete
authors.forename: Ignacio
authors.initials: I
authors.lastname: Herraiz
authors.forename: Jacek
authors.initials: J
authors.lastname: Bialkowski
authors.forename: Malgorzata
authors.initials: M
authors.lastname: Szkutnik
authors.forename: Maria Pilar
authors.initials: MP
authors.lastname: Díaz
authors.forename: Fernando
authors.initials: F
authors.lastname: Villagra
authors.forename: Pedro Antonio
authors.initials: PA
authors.lastname: Sanchez
mesh_terms: D000714:Anastomosis, Surgical; D021721:Balloon Occlusion; D006328:Cardiac Catheterization; D002648:Child; D005260:Female; D006330:Heart Defects, Congenital / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D010166:Palliative Care; D011651:Pulmonary Artery / Q000601:surgery; D014684:Venae Cavae / Q000601:surgery