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Exercise Tolerance in Extracardiac Total Cavopulmonary Connection

Antonio F Corno MD, FRCS(Glas), FACC, FETCS Tel: +44 151 2824 514-5 Fax: +44-151-2525-643 Email: Antonio.Corno@alderhey.nhs.uk, Consultant Paediatric Cardiac Surgeon, University of Liverpool, Alder Hey Children NHS Foundation Trust, Eaton Road, Liverpool, UK.

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The authors have presented their clinical experience of evaluating exercise tolerance after extracardiac total cavopulmonary connection in 41 patients. The preoperative hemodynamic data (end-diastolic ventricular pressure, mean pulmonary artery pressure, pulmonary vascular resistance, oxygen saturation) reported with the characteristics of the patient population confirm that the authors included some who were less than ideal candidates for a Fontan-type circulation, because of either elevated end-diastolic ventricular pressure or elevated pulmonary artery pressure and resistance. From the available clinical data, it seems also that a previous bidirectional Glenn anastomosis (end-to-side superior vena cava-to-right pulmonary artery) had been performed in only 4/41 (10%) patients; if the interpretation of this figure is correct, in . . . [Full Text of this Article]

Asian Cardiovasc Thorac Ann 2009; 17:45
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102259