Medium-Term Outcomes of Kawashima and Completion Fontan Palliation in Single- Ventricle Heart Disease With Heterotaxy and Interrupted Inferior Vena Cava

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Presentation transcript:

Medium-Term Outcomes of Kawashima and Completion Fontan Palliation in Single- Ventricle Heart Disease With Heterotaxy and Interrupted Inferior Vena Cava Shelby Kutty, MD, Michele A. Frommelt, MD, David A. Danford, MD, James S. Tweddell, MD The Annals of Thoracic Surgery Volume 90, Issue 5, Pages 1609-1613 (November 2010) DOI: 10.1016/j.athoracsur.2010.06.114 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The systemic oxygen saturations as measured by pulse oximetry (Spo2) trends after Kawashima and before Fontan completion. The Spo2 in the Kawashima group is plotted in the y axis against time after Kawashima in the x axis. Note that many observations of Spo2 after Kawashima and before Fontan fell below the 5th percentile Spo2 standard. The Annals of Thoracic Surgery 2010 90, 1609-1613DOI: (10.1016/j.athoracsur.2010.06.114) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The oxygen saturation as measured by pulse oximetry (Spo2) trends after Fontan. Note the trend toward higher Spo2 with time after Fontan in the control Fontan group. The post-Kawashima Fontan group initially have a lower Spo2 than expected for a standard Fontan, and most patients move up to a similar Spo2 level as in a standard Fontan by 4 to 5 years. The Annals of Thoracic Surgery 2010 90, 1609-1613DOI: (10.1016/j.athoracsur.2010.06.114) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions