心室
医学
围手术期
Fontan手术
入口
外科
心脏病学
内科学
工程类
机械工程
作者
Su Duy Nguyen,Jan M. Quaegebeur,Kanwal M. Farooqi,Emile A. Bacha,Andrew B. Goldstone
标识
DOI:10.1053/j.pcsu.2024.01.001
摘要
Ventricular septation of the double-inlet ventricle is a largely abandoned operation due to poor historical outcomes. However, there has been renewed interest in septation as an alternative to Fontan palliation given its long-term sequelae. As one of the few centers to revisit septation in the early 1990s, our institution has long-term data on a series of patients with a double-inlet ventricle who underwent biventricular repair. This manuscript is a summary of our approach to staged septation of the double-inlet ventricle, with a focus on patient selection criteria, surgical techniques, perioperative considerations on timing of interventions, and long-term results. We believe that septation of the double-inlet ventricle should be reconsidered in patients with suitable anatomy in light of the known complications of Fontan palliation.
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