The physiology of the bidirectional cavopulmonary connection

Annals of Thoracic Surgery

Volumn 66, Issue 2, 1998, Pages 664-667

  Freedom, Robert M ^a   Nykanen, David ^a   Benson, Lee N ^a  

^a Hospital for Sick   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

COLLATERAL CIRCULATION; CONFERENCE PAPER; CONGENITAL HEART MALFORMATION; FONTAN PROCEDURE; HEART LEFT VENTRICLE OUTFLOW TRACT; HUMAN; LUNG BLOOD FLOW; LUNG VASCULAR RESISTANCE; PHYSIOLOGY; PRIORITY JOURNAL; PULMONARY ARTERY; SUPERIOR CAVA VEIN; TRICUSPID VALVE ATRESIA;

ANASTOMOSIS, SURGICAL; CHILD, PRESCHOOL; FONTAN PROCEDURE; HEART DEFECTS, CONGENITAL; HUMANS; PULMONARY ARTERY; VENA CAVA, SUPERIOR;

EID: 0031687839     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0003-4975(98)00618-3     Document Type: Conference Paper

References (47)

1. Glenn W.W.L. Circulatory bypass of the right side of the heart. IV. Shunt between superior vena cava and distal right pulmonary artery - report of clinical application. N Engl J Med. 259:1958;117-120.
2. Glenn W.W.L. Superior vena cava-pulmonary artery shunt. Ann Thorac Surg. 47:1989;62-64.
3. Trusler G.A., Williams W.G., Cohen A.J., et al. William Glenn Lecture: The cavopulmonary shunt. Evolution of a concept. Circulation. 82:(Suppl 4):1990;131-138.
4. Castañeda A.R. From Glenn to Fontan. A continuing evolution. Circulation. 86:(Suppl 2):1992;80-84.
5. Bargeron L.M. Jr, Karp R.B., Barcia A., Kirklin J.W., Hunt D., Deverall P.B. Late deterioration of patients after superior vena cava to right pulmonary artery anastomosis. Am J Cardiol. 30:1972;211-216.
6. Boruchow I.B., Swenson E.W., Elliott L.P., Bartley T.D., Wheat M.W. Jr, Schiebler G.L. Study of the mechanisms of shunt failure after superior vena cava-right pulmonary artery anastomosis. J Thorac Cardiovasc Surg. 60:1970;531-539.
7. Robicsek F. An epitaph for cavopulmonary anastomosis. Ann Thorac Surg. 34:1982;208-220.
8. Fontan F., Baudet E. Surgical repair of tricuspid atresia. Thorax. 26:1971;240-248.
9. Cloutier A., Ash J.M., Smallhorn J.F., et al. Abnormal distribution of pulmonary blood flow after the Glenn shunt or Fontan procedure risk of development of arteriovenous fistulae . Circulation. 72:1985;471-479.
10. McFaul R.C., Tajik A.J., Mair D.D., Danielson G.K., Seward J.B. Development of pulmonary arteriovenous shunt after superior vena cava-right pulmonary artery (Glenn) anastomosis. Circulation. 55:1977;212-216.
11. Van Den Bogaert-Van Heesvelde A.M., Derom F., Kunnen M., Van Egmond H., Devloo-Blancquaert A. Surgery for arteriovenous fistulas and dilated vessels in the right lung after the Glenn procedure. J Thorac Cardiovasc Surg. 76:1978;195-197.
12. Lamberti J.J., Spicer R.L., Waldman J.D., et al. The bidirectional cavopulmonary shunt. J Thorac Cardiovasc Surg. 100:1990;22-30.
13. Hopkins R.A., Armstrong B.E., Serwer G.A., Peterson R.J., Oldham H.N. Jr. Physiological rationale for a bidirectional cavopulmonary shunt. J Thorac Cardiovasc Surg. 90:1985;391-398.
14. Bridges N.D., Jonas R.A., Mayer J.E., Flanagan M.F., Keane J.F., Castañeda A.R. Bidirectional cavopulmonary anastomosis as interim palliation for high-risk Fontan candidates. Early results. Circulation. 82:(Suppl 4):1990;170-176.
15. Mainwaring R.D., Lamberti J.J., Moore J.W. The bidirectional Glenn and Fontan procedures - integrated management of the patient with functionally single ventricle. Cardiol Young. 6:1996;198-207.
16. Van Arsdell G.S., Williams W.G., Maser C.M., et al. Superior vena cava to pulmonary artery anastomosis an adjunct to biventricular repair . J Thorac Cardiovasc Surg. 112:1996;1143-1149.
17. Seliem M.A., Baffa J.M., Vetter J.M., Chen S.-L., Chin A.J., Norwood W.I. Jr. Changes in right ventricular geometry and heart rate early after hemi-Fontan procedure. Ann Thorac Surg. 55:1993;1508-1512.
18. Allgood N.L., Alejos J., Drinkwater D.C., Laks H., Williams R.G. Effectiveness of the bidirectional Glenn shunt procedure for volume unloading in the single ventricle patient. Am J Cardiol. 74:1994;834-836.
19. Chang A.C., Hanley F.L., Wernovsky G., et al. Early bidirectional cavopulmonary shunt in young infants. Postoperative course and early results. Circulation. 88:(part 2):1993;149-158.
20. Jonas R.A. Indications and timing for the bidirectional Glenn shunt versus the fenestrated Fontan circulation. J Thorac Cardiovasc Surg. 108:1994;522-524.
21. Pridjian A.K., Mendelsohn A.M., Lupinetti F.M., et al. Usefulness of the bidirectional Glenn procedure as staged reconstruction for the functional single ventricle. Am J Cardiol. 71:1993;959-962.
22. Reddy V.M., Liddicoat J.R., Hanley F.L. Primary bidirectional superior cavopulmonary shunt in infants between 1 and 4 months of age. Ann Thorac Surg. 59:1995;1120-1126.
23. Gross G.J., Jonas R.J., Castañeda A.R., Hanley F.L., Mayer J.E., Bridges N.B. Maturational and hemodynamic factors predictive of increased cyanosis following bidirectional cavopulmonary anastomosis. Am J Cardiol. 74:1994;705-709.
24. Forbes T.J., Gajarski R., Johnson G.L., et al. Influence of age on the effect of bidirectional cavopulmonary anastomosis on left ventricular volume, mass, and ejection fraction. J Am Coll Cardiol. 28:1996;1301-1307.
25. Mainwaring R.D., Lamberti J.J., Uzark K., Spicer R.L. Bidirectional Glenn. Is accessory pulmonary blood flow good or bad? Circulation. 92:(Suppl 2):1995;294-297.
26. Frommelt M., Frommelt P.C., Berger S., et al. Does an additional source of pulmonary blood flow alter outcome after a bidirectional cavopulmonary shunt? Circulation. 92:(Suppl 2):1995;240-244.
27. Teske D.W., Davis J.T., Allen H.D. Cavopulmonary anastomotic aneurysm a complication in pulsatile pulmonary arteries . Ann Thorac Surg. 57:1994;1661-1664.
28. Mendelsohn A.M., Bove E.L., Lupinetti F.M., Crowley D.C., Lloyd T.R., Beekman R.H. III. Central pulmonary artery growth patterns after the bidirectional Glenn procedure. J Thorac Cardiovasc Surg. 107:1994;1284-1290.
29. Reddy V.M., McElhinney D.B., Moore P., Petrossian E., Hanley F.L. Pulmonary artery growth after bidirectional cavopulmonary shunt is there a cause for concern? J Thorac Cardiovasc Surg. 112:1996;1180-1192.
30. Slavik Z., Webber S.A., Lamb R.K., et al. Influence of bidirectional superior cavopulmonary anastomosis on pulmonary arterial growth. Am J Cardiol. 76:1995;1085-1087.
31. Knott-Craig C.J., Danielson G.K., Schaff H.V., Puga F.J., Weaver L.A., Driscoll D.D. The modified Fontan operation. An analysis of risk factors for early postoperative death or takedown in 702 consecutive patients from one institution. J Thorac Cardiovasc Surg. 109:1995;1237-1243.
32. Freedom R.M., Mawson J.W., Yoo S.J., Benson L.N. Congenital heart disease textbook of angiocardiography . 1997;Futura, Armonk, NY.
33. Freedom R.M., Benson L.N., Smallhorn J.F., Williams W.G., Trusler G.A., Rowe R.D. Subaortic stenosis, the univentricular heart, and banding of the pulmonary artery an analysis of the courses of 43 patients with univentricular heart palliated by pulmonary artery banding . Circulation. 73:1986;758-764.
34. Malcic I., Sauer U., Stern H., et al. The influence of pulmonary artery banding on outcome after the Fontan operation. J Thorac Cardiovasc Surg. 104:1992;743-747.
35. Rao P.S. Subaortic obstruction after pulmonary artery banding in patients with tricuspid atresia and double-inlet left ventricle and ventriculoarterial discordance [Letter]. J Am Coll Cardiol. 18:1991;1585-1586.
36. Donofrio M.T., Jacobs M.L., Norwood M.L., Rychik J. Early changes in ventricular septal defect size and ventricular geometry in the single left ventricle after volume-unloading surgery. J Am Coll Cardiol. 26:1995;1008-1015.
37. Fogel M.A., Weinberg P.M., Chin A.J., Fellows K.E., Hoffman E.A. Left ventricular geometry and performance changes of functional single ventricle throughout staged Fontan reconstruction assessed by magnetic resonance imaging. J Am Coll Cardiol. 28:1996;212-221.
38. Rychik J., Jacobs M.L., Norwood W.I. Early changes in ventricular geometry and ventricular septal defect size following Rastelli operation or intraventricular baffle repair for conotruncal anomaly. A cause for development of subaortic stenosis. Circulation. 90:(Suppl 2):1994;13-19.
39. Caspi J., Coles J.G., Rabinovitch M., et al. Morphological findings contributing to a failed Fontan procedure in the current era. Circulation. 82:(Suppl 4):1990;177-182.
40. Kirklin J.K., Blackstone E.H., Kirklin J.W., Pacifico A.D., Bargeron L.M. The Fontan operation. Ventricular hypertrophy, age, and date of operation as risk factors. J Thorac Cardiovasc Surg. 92:1986;1049-1064.
41. Seliem M., Muster A.J., Paul M.H., Benson D.W. Relation between preoperative left ventricular muscle mass and outcome of the Fontan procedure in patients with tricuspid atresia. J Am Coll Cardiol. 14:1989;750-755.
42. Razzouk A.J., Freedom R.M., Cohen A.J., et al. The recognition, identification of morphologic substrate, and treatment of subaortic stenosis after a Fontan operation. J Thorac Cardiovasc Surg. 104:1992;938-944.
43. Gatzoulis M.A., Shinebourne E.A., Redington A.N., Rigby M.L., Ho S.Y., Shore D.F. Increasing cyanosis after cavopulmonary connection caused by abnormal systemic venous channels. Br Heart J. 73:1995;182-186.
44. Magee A.G., McCrindle B.W., Benson L.N., Williams W.G., Freedom R.M. Systemic venous collaterals after the bidirectional cavopulmonary anastomosis - prevalence and risk factors. Circulation. 92:(Suppl 1):1995;126.
45. Triedman J.K., Bridges N.D., Mayer J.E. Jr, Lock J.E. Prevalence and risk factors for aortopulmonary collateral vessels after Fontan and bidirectional Glenn procedures. J Am Coll Cardiol. 22:1993;207-215.
46. Spicer R.L., Uzark K.C., Moore J.W., Mainwaring R.D., Lamberti J.J. Aortopulmonary collateral vessels and prolonged pleural effusions after modified Fontan procedures. Am Heart J. 131:1996;1164-1168.
47. Ichikawa H., Yagihara T., Kishimoto H., et al. Extent of aortopulmonary collateral blood flow as risk factor for Fontan operations. Ann Thorac Surg. 59:1995;433-437.