The impact of ventricular morphology on midterm outcome following completion total cavopulmonary connection

Simon P. McGuirk, David S. Winlaw, Stephen M. Langley, Oliver F. Stumper, Joseph V. De Giovanni, John G. Wright, William J. Brawn, David J. Barron

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Objective: This study was undertaken to compare the early and midterm outcome following completion total cavopulmonary connection (TCPC) in patients with a single functional ventricle of left or right morphology. Methods: Between August 1996 and July 2001, 103 patients underwent completion TCPC following an interim superior cavopulmonary connection. The single functional ventricle was of left (n=44, 42%) or right ventricular morphology (n=59, 58%). The TCPC was performed using an extracardiac conduit (n=84, 82%) or a lateral atrial tunnel (n=19, 18%), and was fenestrated in 53 patients (51%). Outcomes studied included duration of pleural effusions and in-patient hospitalisation; early mortality, reoperation and reintervention; actuarial survival, freedom from reoperation and reintervention; and current functional status. These were assessed according to a series of preoperative, operative and postoperative variables. Follow-up was complete with a median interval of 17 months (range, 21 days-5.2 years). Results: Early mortality was 1.9% (n=2) and one other patient required takedown of the Fontan circulation. There was one late death. Five-year survival with a Fontan circulation (±1 SEM) was 95.6±2.5%. Forty-two patients (41%) had prolonged pleural drainage (≥14 days) and 41 patients (40%) had a prolonged hospital stay. Five-year freedom from reoperation and reintervention (±1 SEM) were 92.2±5.0 and 73.4±6.0%, respectively. The Fontan procedure was associated with an improved functional class (P

Original languageEnglish (US)
Pages (from-to)37-46
Number of pages10
JournalEuropean Journal of Cardio-thoracic Surgery
Volume24
Issue number1
DOIs
StatePublished - Jul 1 2003
Externally publishedYes

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Reoperation
Heart Ventricles
Fontan Procedure
Survival
Mortality
Pleural Effusion
Drainage
Length of Stay
Hospitalization

Keywords

  • Congenital
  • Fontan procedure
  • Heart defects
  • Paediatrics
  • Risk factors
  • Total cavopulmonary connection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

McGuirk, S. P., Winlaw, D. S., Langley, S. M., Stumper, O. F., De Giovanni, J. V., Wright, J. G., ... Barron, D. J. (2003). The impact of ventricular morphology on midterm outcome following completion total cavopulmonary connection. European Journal of Cardio-thoracic Surgery, 24(1), 37-46. https://doi.org/10.1016/S1010-7940(03)00186-6

The impact of ventricular morphology on midterm outcome following completion total cavopulmonary connection. / McGuirk, Simon P.; Winlaw, David S.; Langley, Stephen M.; Stumper, Oliver F.; De Giovanni, Joseph V.; Wright, John G.; Brawn, William J.; Barron, David J.

In: European Journal of Cardio-thoracic Surgery, Vol. 24, No. 1, 01.07.2003, p. 37-46.

Research output: Contribution to journalArticle

McGuirk, SP, Winlaw, DS, Langley, SM, Stumper, OF, De Giovanni, JV, Wright, JG, Brawn, WJ & Barron, DJ 2003, 'The impact of ventricular morphology on midterm outcome following completion total cavopulmonary connection', European Journal of Cardio-thoracic Surgery, vol. 24, no. 1, pp. 37-46. https://doi.org/10.1016/S1010-7940(03)00186-6
McGuirk, Simon P. ; Winlaw, David S. ; Langley, Stephen M. ; Stumper, Oliver F. ; De Giovanni, Joseph V. ; Wright, John G. ; Brawn, William J. ; Barron, David J. / The impact of ventricular morphology on midterm outcome following completion total cavopulmonary connection. In: European Journal of Cardio-thoracic Surgery. 2003 ; Vol. 24, No. 1. pp. 37-46.
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AU - Winlaw, David S.

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AU - De Giovanni, Joseph V.

AU - Wright, John G.

AU - Brawn, William J.

AU - Barron, David J.

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