Right heart bypass surgery of complex congenital heart disease.docVIP

 PAGE \* MERGEFORMAT 13 Right heart bypass surgery of complex congenital heart disease Author: Bea-Jun, Zhang Zai Gao, Li Han, Jiang-phase-wei, XIE Shui-ben, Zhe Zhao, Chi Hai-Tao [Abstract] Objective To evaluate the right heart bypass surgery the clinical experience of complex congenital heart disease. Methods from October 2004 to January 2008, using right heart bypass surgery a total of 24 cases of complex congenital heart disease (diseases, including tricuspid atresia, single ventricle, etc., of which eight cases of abnormal position of the heart). 19 routine bi-directional Glenn Shunt, 5 regular full-inferior vena cava - pulmonary artery anastomosis. 24 of 16 patients without cardiopulmonary bypass in non-implementation of two cases of bi-directional Glenn Shunt after re-operation. Results Group 1 cases of operative death (4.2%), chylothorax, and hypoxemia in 1 case. Conclusions ① right heart bypass surgery surgical treatment of complex congenital heart disease staging effect is good, but the surgery more difficult; ② Full vena cava - pulmonary artery anastomosis, the extracardiac conduit and right atrium window good results; ③ try after technical compliance in vitro under non-surgery, but the pump must have good emergency response capabilities. [Keywords:] of right heart bypass surgery; complex congenital heart disease; full vena cava - pulmonary artery anastomosis; bi-directional Glenn Shunt; pump Abstract: OBJECTIVE To evaluate the result of right heart bypass operation (RHB) for treating complex congenital heart disease. METHODS From October 2004 to January 2008, 24 patients with complex congenital heart disease underwent RHB. The dignoses of patients included tricuspid atresia, single ventricle , and so on. Among them, 8 cases were found ectopia cordis. Opreation precedure included bidrectional Glenn shunt (19 cases) and total caval pulmonary connection (TCPC, 5 cases). In the 24 cases, 16 patient underwent off-pump operation. RESULTS Total hosp