World journal for pediatric & congenital heart surgery
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World J Pediatr Congenit Heart Surg · Mar 2020
Characterization of Extracorporeal Membrane Oxygenation Support for Single Ventricle Patients.
Extracorporeal membrane oxygenation (ECMO) can provide crucial support for single ventricle (SV) patients at various stages of palliation. However, characterization of the utilization and outcomes of ECMO in these unique patients remains incompletely studied. ⋯ Extracorporeal membrane oxygenation can be useful to rescue SV patients with approximately half surviving to discharge, although complications are frequent. Early recognition of the role of heart transplant is imperative. Further study is required to identify areas for improvement in this population.
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World J Pediatr Congenit Heart Surg · Mar 2020
Case ReportsModified Damus-Kaye-Stansel Connection for Systemic Outflow Tract Obstruction After Fontan Operation.
Late systemic outflow tract obstruction following completion of the Fontan palliation is rarely seen and is a difficult problem to treat. Absence of the main pulmonary trunk and pulmonary valve at this stage makes a conventional Damus-Kaye-Stansel connection difficult to achieve. We report the case of a 37-year-old female who underwent Fontan completion as an adult and subsequently presented with systemic outflow tract obstruction. A valved conduit was interposed between the native pulmonary annulus and the ascending aorta to create a modified Damus-Kaye-Stansel type connection.