Al-Dairy Alwaleed, Dehaki Maziar Gholampour, Omrani Gholamreza, Sadeghpour Ali, Jalali Amir Hossein, Afjehi Reza Sadat, Mahdavi Mohammad, Salesi Mahmood
Department of Cardiovascular Surgery, Division of Congenital Cardiac Surgery of Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Department of Pediatric Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Braz J Cardiovasc Surg. 2017 Nov-Dec;32(6):503-507. doi: 10.21470/1678-9741-2017-0025.
The superior cavopulmonary connection operation is one of the stages of the palliative surgical management for patients with functionally single ventricle. After surviving this stage, the patients are potential candidates for the final palliative procedure: the Fontan operation.
This study aimed to analyze the outcomes of superior cavopulmonary connection operations in our center and to identify factors affecting the survival and the progression to Fontan stage.
The outcomes of 161 patients were retrospectively analyzed after undergoing superior cavopulmonary connection operation in our center between 2005 and 2015.
The early mortality rate was 2.5%. Five (3.1%) patients underwent takedown of the superior cavopulmonary connection. The rate of exclusion from the Fontan stage was 8.3%. Statistical analysis revealed that elevated mean pulmonary artery pressure preoperatively and the prior palliation with pulmonary artery banding were risk factors for both early mortality and takedown; however, the age, the morphology of the single ventricle and the type of operation were not considered risk factors.
The superior cavopulmonary connection operation can be performed with low rate mortality and morbidity; however, the elevated mean pulmonary artery pressure preoperatively and the prior pulmonary artery banding are associated with poor outcomes.
上腔静脉 - 肺动脉连接术是功能性单心室患者姑息性外科治疗的阶段之一。度过这一阶段后，患者是最终姑息性手术——Fontan手术的潜在候选者。
本研究旨在分析我院上腔静脉 - 肺动脉连接术的手术结果，并确定影响患者生存及进展至Fontan阶段的因素。
回顾性分析2005年至2015年间在我院接受上腔静脉 - 肺动脉连接术的161例患者的手术结果。
早期死亡率为2.5%。5例（3.1%）患者接受了上腔静脉 - 肺动脉连接术拆除手术。被排除在Fontan阶段的比例为8.3%。统计分析显示，术前平均肺动脉压升高以及既往接受肺动脉环扎术是早期死亡和手术拆除的危险因素；然而，年龄、单心室形态和手术类型未被视为危险因素。
上腔静脉 - 肺动脉连接术可在低死亡率和低发病率的情况下进行；然而，术前平均肺动脉压升高和既往肺动脉环扎术与不良预后相关。
