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The prognostic value of balloon occlusion in candidates for the various types of cavo-pulmonary anastomosis

Published online by Cambridge University Press:  24 May 2005

Jacek Kusa ,
Ramón Bermúdez-Cañete ,
Ignacio Herraiz ,
Jacek Bialkowski ,
Malgorzata Szkutnik ,
Maria Pilar Díaz ,
Fernando Villagra  and
Pedro Antonio Sanchez
Jacek Kusa
Affiliation:
Department of Congenital Heart Diseases and Paediatric Cardiology, Silesian Centre for Heart Diseases, Zabrze, Poland
Ramón Bermúdez-Cañete
Affiliation:
Department of Paediatric Cardiology, Hospital Ramón y Cajal, Madrid, Spain
Ignacio Herraiz
Affiliation:
Department of Paediatric Cardiology, Hospital Ramón y Cajal, Madrid, Spain
Jacek Bialkowski
Affiliation:
Department of Congenital Heart Diseases and Paediatric Cardiology, Silesian Centre for Heart Diseases, Zabrze, Poland
Malgorzata Szkutnik
Affiliation:
Department of Congenital Heart Diseases and Paediatric Cardiology, Silesian Centre for Heart Diseases, Zabrze, Poland
Maria Pilar Díaz
Affiliation:
Department of Paediatric Cardiology, Hospital Ramón y Cajal, Madrid, Spain
Fernando Villagra
Affiliation:
Department of Paediatric Cardiology, Hospital Ramón y Cajal, Madrid, Spain
Pedro Antonio Sanchez
Affiliation:
Department of Paediatric Cardiology, Hospital Ramón y Cajal, Madrid, Spain
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Abstract

The purpose of our paper is to assess the prognostic value of balloon occlusion as a test for patients with various types of functionally single ventricle after different palliative surgical procedures who were candidates for further modifications of a cavo-pulmonary operation. In all patients, there were at least two sources of pulmonary arterial supply.

Our hypothesis was that, using balloon occlusion temporarily to produce changes in the haemodynamic situation, we could simulate the potential state subsequent to surgical palliation. We used balloon occlusion in 19 patients during diagnostic catheterisation, followed by interventional and or surgical procedures as considered necessary. This test was applied for temporary closure of the pulmonary valve in 8 patients, and a Blalock-Taussig anastomosis in 11 patients.

Keywords

Diagnostic cardiac catheterisationFontan procedurebi-directional Glenn
Type
Original Article
Information
Cardiology in the Young , Volume 13 , Issue 4 , August 2003 , pp. 323 - 327
Copyright
© 2003 Cambridge University Press

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Footnotes

This paper was produced within a Spanish–Polish program of cooperation.

References

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