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J Thorac Cardiovasc Surg 2007;134:1351-1352
© 2007 The American Association for Thoracic Surgery

Brief Communication

Thirty-two years after total right heart bypass

Cardiovascular Division, Hospital de Niños, and Clínica Bazterrica, Buenos Aires, Argentina.

Received for publication January 23, 2007; accepted for publication February 6, 2007.

^_* Address for reprints: Guillermo O. Kreutzer, MD, the Cardiovascular Division, Hospital de Niños, Gallo 1330, 1425 Buenos Aires, Argentina. (Email: gokreutzer@arnet.com.ar).

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

Dr Kreutzer

In 1971,^1,2 the future of patients with chronically elevated venous pressures was unknown,^1-3 but the intriguing physiology of total right heart bypass was demonstrated to be compatible with life. In 1975, in Toronto, I presented "Recent Surgical Approach to Tricuspid Atresia,"⁴ the international experience of 35 patients with 10 hospital and 2 late deaths. After 32 years, my colleagues and I reviewed the outcome of that original cohort of patients. From communications with the pioneer cardiothoracic centers (Bordeaux, Mayo Clinic, and Chicago) included in that original paper,⁴ we learned that only 1 patient is still alive of the 23 survivors treated before 1975: that survivor is the fifth patient on which we operated, as presented in Toronto.⁴

The aim of this article is (1) to review the follow-up of our 5 survivors, (2) to explore the lessons learned over the years, and (3) to present a survival with total right heart bypass for more than 32 years, to my knowledge the longest in the world.

Methods

I conducted . . . [Full Text of this Article]

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