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Vestn. Akad. Med. Nauk SSSR · Jan 2005
Review[Fontan right heart bypass as a corrective procedure for congenital heart disease with single-ventricle hemodynamics].
- V P Podzolkov, M M Zelenikin, I A Iurlov, and I E Chernogrivov.
- Vestn. Akad. Med. Nauk SSSR. 2005 Jan 1 (1): 8-13.
AbstractTreatment of patients with complex cyanotic congenital heart disease is one of the most difficult problems in heart surgery. In a number of cases, when normal introcardiac hemodynamics is impossible to reestablish, the operation of choice consists in hemodynamic correction, which implies excluding the right heart from pulmonary circulation by rerouting venous blood directly to the lungs. The analysis of the outcomes of the operation, performed in various modification, shows that the most optimal method to date is extracardial bypass of the right heart with a valveless tubular prosthesis. This method is associated with a relatively rare early and long-term complications. Improvement of outcomes can be achieved mainly via dividing the correction procedure into stages, including bidirectional cavapulmanal anastomosis, and via thorough selection and preoperative preparation of patients.
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