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유아 환아에서 양방향성 상대정맥-폐동맥 단락술의 임상적 효율성

Other Titles
 The Clinical Efficacy of Bidirectional Cavopulmonray Shunt in Young Infants 
 이삭  ;  박영환  ;  박한기  ;  홍순창  ;  곽영태  ;  조범구 
 Korean Journal of Thoracic and Cardiovascular Surgery (대한흉부외과학회지), Vol.39(3) : 177-183, 2006 
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery(대한흉부외과학회지)
Issue Date
Anastomosis, surgical ; Congenital heart disease ; Shunts
Background: The bidirectional cavopulmonary shunt (BCPS) is one of the primary palliative procedures for complex congenital heart disease. It has many advantages, but it is known to have high risks in young infants.

Material and Method: From 1995 to 2003, 48 infants under the age of one year underwent BCPS. All the patients were Fontan candidates due to functional univentricular heart physiology. There were no significant differences in preoperative variables, except in mean age (67.58±3.78 vs. 212.91±13.44 days), and mean body weight (4.51±0.29 vs. 6.62±0.27 kg), between group A (<3 months, n=12) and group B (≥3 months, n=36).

Result: In group A, the arterial oxygen saturations serially measured were significantly lower. Hospital mortality was 25%, and 19%, respectively. During follow up, there were 2 late mortalities in group A, and 5 in group B.

Conclusion: This study showed that operative risk in young infants was comparable to that of older patients, and BCPS could be a good option as a primary palliative procedure, and may eliminate other repeated palliative procedures which could be the risk factors for Fontan candidates. However, in high-risk patients accompanying pulmonary hypertension, or heterotaxia syndrome, other palliative procedures should be considered.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Young Hwan(박영환) ORCID logo https://orcid.org/0000-0001-9802-8017
Park, Han Ki(박한기) ORCID logo https://orcid.org/0000-0002-7472-7822
Lee, Sak(이삭) ORCID logo https://orcid.org/0000-0001-6130-2342
Cho, Bum Koo(조범구)
Hong, Soon Chang(홍순창)
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