JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hosseinpour, A.R.
Right arrow Articles by Brawn, W.J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hosseinpour, A.R.
Right arrow Articles by Brawn, W.J.
Related Collections
Right arrow Congenital - acyanotic
Right arrow Congestive Heart Failure

J Thorac Cardiovasc Surg 2006;131:471-473
© 2006 The American Association for Thoracic Surgery

Brief Communication

Combined atrial arterial switch operation (double switch) for hearts with Shone syndrome and pulmonary hypertension

A.R. Hosseinpour, MD, FRCS (C-Th), M. Amanullah, FRCS (C-Th), I.R. Ramnarine, FRCS (Ed), O. Stümper, MD, PhD, D.J. Barron, MD, MRCP, FRCS (C-Th), W.J. Brawn, FRCS, FRACS *

Department of Paediatric Cardiac Surgery, Diana, Princess of Wales Children's Hospital, Birmingham, United Kingdom.

Received for publication June 20, 2005; revisions received September 19, 2005; accepted for publication September 27, 2005.

* Address for reprints: W. J. Brawn, FRCS, FRACS, Department of Paediatric Cardiac Surgery, Diana, Princess of Wales Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK (Email: william.brawn@bch.nhs.uk).

The first 20% of the full text of this article appears below.

After relief of obstructive lesions in Shone syndrome, left ventricular dysfunction might persist, with high left ventricular end-diastolic pressure (LVEDP) and pulmonary hypertension (PHT). 1 Go We reasoned that the right ventricle (RV), having been trained by means of PHT, could support the systemic circulation. The left ventricle (LV), although dysfunctional in the systemic circulation, would be adequate to support the pulmonary circulation. With this arrangement, PHT might resolve. This was achieved in 2 patients with the combined atrial and arterial switch procedure (double-switch procedure), which is usually used in congenitally corrected transposition. 2 Go

Clinical Summary

Patient 1
An 18-month-old boy (7.5 kg) with Shone syndrome and previous coarctation and parachute mitral valve repair presented with failure to thrive and PHT. His aortic valve was bicuspid. Preoperative evaluation showed severe mitral regurgitation and a non–apex-forming LV with endomyocardial fibroelastosis, although its end-diastolic diameter was normal (25 mm; predicted range, 21-31 mm). LVEDP was 17 mm Hg. Pulmonary artery (PA) pressures were 120/70 mm Hg (mean, 85 mm Hg), decreasing to 65/50 . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The American Association for Thoracic Surgery.