An alternate technique of performing total cavopulmonary connection without cardiopulmonary bypass.

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Annals of Pediatric Cardiology Pub Date : 2023-09-01 Epub Date: 2024-04-01 DOI:10.4103/apc.apc_140_23
Sachin Talwar, Anjali Tiwari, Sanjoy Sengupta, Arindam Choudhury, Amitabh Satsangi, Shiv Kumar Choudhary
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引用次数: 0

Abstract

Total cavopulmonary connection (Fontan) without using cardiopulmonary bypass (CPB) may be superior to Fontan on CPB. In the experience of many, a Fontan operation without CPB may be associated with a reduced need for inotropic support, improved outcomes in the postoperative phase including faster time to termination of mechanical ventilatory support, reduced intensive care unit stay, lower volume of pleural and peritoneal effusions, and decreased hospital stay, thereby rendering it more cost-effective. However, the operation is technically more difficult to perform than Fontan on CPB and requires significant modifications of surgical technique and alteration in overall management strategy. In this article, an alternative technique of performing total cavopulmonary connection without CPB is described. Its advantages are briefly discussed.

无需心肺旁路即可进行全腔肺连接的另一种技术。
不使用心肺旁路(CPB)的全腔肺连接(Fontan)手术可能优于使用CPB的Fontan手术。根据许多人的经验,不使用 CPB 的丰坦手术可能会减少对肌力支持的需求,改善术后阶段的预后,包括更快地终止机械通气支持,缩短重症监护室的住院时间,减少胸腔和腹腔积液量,缩短住院时间,从而使其更具成本效益。然而,该手术在技术上比在 CPB 上进行丰坦手术更加困难,需要对手术技巧进行重大调整,并改变整体管理策略。本文介绍了一种无需 CPB 即能进行全腔肺连接的替代技术。本文简要讨论了该技术的优点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of Pediatric Cardiology
Annals of Pediatric Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
14.30%
发文量
51
审稿时长
23 weeks
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