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Extracardiac conduit versus lateral tunnel for total cavopulmonary connections.
J Med Assoc Thai. 2007 Nov; 90(11):2513-8.JM

Abstract

OBJECTIVE

Compare the surgical outcomes of the lateral tunnel and the extracardiac conduit total cavopulmonary connections at a single center during a l0-year period.

MATERIAL AND METHOD

From October 1995 through October 2005, 27 total cavopulmonary connections (TCPC) were performed. fourteen patients were the lateral tunnel and thirteen patients were the extracardiac conduit. Prior superior cavopulmonary connective surgery and fenestration surgery were done more often in the group with extracardiac conduit.

RESULTS

Operative mortality was 29% in the lateral tunnel and no operative mortality in the extracardiac conduit (p < 0.05). The cause of deaths in three patients was significant AV valve regurgitations and one was small pulmonary artery index. All patients in both groups were in NYHA class 1 and 2 and no patients with supraventricular arrhythmias were detected in the two groups during the follow-up period There was only one patient in the lateral tunnel who developed thromboembolism from irregular warfarin taking.

CONCLUSION

The extracardiac conduit had lower mortality than the lateral tunnel. However; there was no difference in early and mid-term complications.

Authors+Show Affiliations

Cardiovascular Thoracic Unit, Division of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. rasac@mucc.mahidol.ac.thNo affiliation info available

Pub Type(s)

Case Reports
Comparative Study
Journal Article

Language

eng

PubMed ID

18181343

Citation

Attanavanich, Sukasom, and Panuwat Lertsithichai. "Extracardiac Conduit Versus Lateral Tunnel for Total Cavopulmonary Connections." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 90, no. 11, 2007, pp. 2513-8.
Attanavanich S, Lertsithichai P. Extracardiac conduit versus lateral tunnel for total cavopulmonary connections. J Med Assoc Thai. 2007;90(11):2513-8.
Attanavanich, S., & Lertsithichai, P. (2007). Extracardiac conduit versus lateral tunnel for total cavopulmonary connections. Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 90(11), 2513-8.
Attanavanich S, Lertsithichai P. Extracardiac Conduit Versus Lateral Tunnel for Total Cavopulmonary Connections. J Med Assoc Thai. 2007;90(11):2513-8. PubMed PMID: 18181343.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Extracardiac conduit versus lateral tunnel for total cavopulmonary connections. AU - Attanavanich,Sukasom, AU - Lertsithichai,Panuwat, PY - 2008/1/10/pubmed PY - 2008/1/26/medline PY - 2008/1/10/entrez SP - 2513 EP - 8 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 90 IS - 11 N2 - OBJECTIVE: Compare the surgical outcomes of the lateral tunnel and the extracardiac conduit total cavopulmonary connections at a single center during a l0-year period. MATERIAL AND METHOD: From October 1995 through October 2005, 27 total cavopulmonary connections (TCPC) were performed. fourteen patients were the lateral tunnel and thirteen patients were the extracardiac conduit. Prior superior cavopulmonary connective surgery and fenestration surgery were done more often in the group with extracardiac conduit. RESULTS: Operative mortality was 29% in the lateral tunnel and no operative mortality in the extracardiac conduit (p < 0.05). The cause of deaths in three patients was significant AV valve regurgitations and one was small pulmonary artery index. All patients in both groups were in NYHA class 1 and 2 and no patients with supraventricular arrhythmias were detected in the two groups during the follow-up period There was only one patient in the lateral tunnel who developed thromboembolism from irregular warfarin taking. CONCLUSION: The extracardiac conduit had lower mortality than the lateral tunnel. However; there was no difference in early and mid-term complications. SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/18181343/Extracardiac_conduit_versus_lateral_tunnel_for_total_cavopulmonary_connections_ L2 - https://medlineplus.gov/congenitalheartdefects.html DB - PRIME DP - Unbound Medicine ER -