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Total Cavopulmonary Connection:Lateral Tunnel Anastomosis or Extracardiac Conduit?——an Analysis of 114 Consecutive Patients

查看全文 作　　者：Song [1]Fu;Klaus [2]Valeske;Matia [2]Muller;Dietmer [2]Schranz;Hakan [2]Akinturk 高影响力作者 机构地区：[1]Children's Heart Center, Bayi Children's Hospital, the Military General Hospital of Beijing People's Liberation Army, Beijing 100026, China;[2]Children's Heart Center, University Hospital Giessen and Marburg GmbH, Giessen 35385, Germany高影响力机构 出　　处：《Chinese Medical Sciences Journal》索引2009年第24卷第2期,共5页高影响力期刊 摘　　要：Objective To compare the postoperative outcomes of patients with the diagnostic univentricular heart undergoing lateral tunnel(LT) operation with extracardiac conduit(EC) operation.Methods From June 1996 to July 2007,114 consecutive patients with a single ventricle underwent total cavopulmonary connection(TCPC) in Children's Heart Center,University Hospital Giessen and Marburg GmbH,Germany.A LT was performed in 19(16.7%) patients,and an EC in 95(83.3%) patients.The mean age of EC group was 50.8±31.6(ranging from 22 to 212) months,and that of LT group was 61.5±41.2(ranging from 30 to 168) months.Early and midterm outcomes of two groups were analyzed.Results One died in LT group(5.3%) and three in EC group(3.2%).The overall mortality was 3.5%.There was no significant difference in mortality between EC and LT groups(P>0.05).The postoperative pulmonary arterial pressure,oxygen saturation,and effusion time of two groups had no significant difference(all P>0.05).No significant difference in the occurrences of complications(arrhythmias,enteropathy,and thrombosis) was found between two groups after operation(P>0.05).Conclusions There seems no difference between LT and EC in the clinical results in the early and middle postoperative stage.Glenn anastomosis followed by an EC seems to have some advantages. 关 键 词：肺动脉压 管道 隧道 连接 静脉 欧共体 血氧饱和度 平均年龄
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