Abstract
We present our experience in the management of tricuspid atresia in 115 children. The anatomic data are categorized as follows: type I, 83.5% type II, 16.5%. Type IB is the most frequent, representing 63.5% of all the cases. Each patient was operated upon one to four times. The age at first operation ranged from 10 days to 20 years. The first operation was a shunt in 94 children, a Fontan operation in four, and banding of the pulmonary artery in 17. Hospital mortality for the first operation was 12.2%, significantly higher in children under 6 months and in those having Waterston shunts. Potts and Blalock-Taussig operations give low long-term mortality; although few (six) have been done, Potts shunts also seem to give good long-term palliation in this series. The Glenn anastomosis is a good operation when performed after a systemic-pulmonary arterial shunt. The Fontan operation was performed in 24 children (hospital mortality 16.6%). There have been no late deaths after the third month postoperatively. Mean follow-up for this operation is only 2 years, but 88% of the survivors lead a normal life, two thirds of them receiving no treatment. There has been one reoperation for stenosis of a Dacron conduit with a good result. Late arrhythmias are well tolerated. In conclusion, the Fontan procedure is a good operation, but palliative procedures still alow good long-term survival.
| Original language | English |
|---|---|
| Pages (from-to) | 440-446 |
| Number of pages | 7 |
| Journal | Journal of Thoracic and Cardiovascular Surgery |
| Volume | 85 |
| Issue number | 3 |
| Publication status | Published - 1983 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Tricuspid atresia. Results of treatment in 115 children. / de Brux, J. L.; Zannini, L.; Binet, J. P.; Neveux, J. Y.; Langlois, J.; Hazan, E.; Planche, C.; Leca, F.; Marchand, M.
In: Journal of Thoracic and Cardiovascular Surgery, Vol. 85, No. 3, 1983, p. 440-446.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Tricuspid atresia. Results of treatment in 115 children
AU - de Brux, J. L.
AU - Zannini, L.
AU - Binet, J. P.
AU - Neveux, J. Y.
AU - Langlois, J.
AU - Hazan, E.
AU - Planche, C.
AU - Leca, F.
AU - Marchand, M.
PY - 1983
Y1 - 1983
N2 - We present our experience in the management of tricuspid atresia in 115 children. The anatomic data are categorized as follows: type I, 83.5% type II, 16.5%. Type IB is the most frequent, representing 63.5% of all the cases. Each patient was operated upon one to four times. The age at first operation ranged from 10 days to 20 years. The first operation was a shunt in 94 children, a Fontan operation in four, and banding of the pulmonary artery in 17. Hospital mortality for the first operation was 12.2%, significantly higher in children under 6 months and in those having Waterston shunts. Potts and Blalock-Taussig operations give low long-term mortality; although few (six) have been done, Potts shunts also seem to give good long-term palliation in this series. The Glenn anastomosis is a good operation when performed after a systemic-pulmonary arterial shunt. The Fontan operation was performed in 24 children (hospital mortality 16.6%). There have been no late deaths after the third month postoperatively. Mean follow-up for this operation is only 2 years, but 88% of the survivors lead a normal life, two thirds of them receiving no treatment. There has been one reoperation for stenosis of a Dacron conduit with a good result. Late arrhythmias are well tolerated. In conclusion, the Fontan procedure is a good operation, but palliative procedures still alow good long-term survival.
AB - We present our experience in the management of tricuspid atresia in 115 children. The anatomic data are categorized as follows: type I, 83.5% type II, 16.5%. Type IB is the most frequent, representing 63.5% of all the cases. Each patient was operated upon one to four times. The age at first operation ranged from 10 days to 20 years. The first operation was a shunt in 94 children, a Fontan operation in four, and banding of the pulmonary artery in 17. Hospital mortality for the first operation was 12.2%, significantly higher in children under 6 months and in those having Waterston shunts. Potts and Blalock-Taussig operations give low long-term mortality; although few (six) have been done, Potts shunts also seem to give good long-term palliation in this series. The Glenn anastomosis is a good operation when performed after a systemic-pulmonary arterial shunt. The Fontan operation was performed in 24 children (hospital mortality 16.6%). There have been no late deaths after the third month postoperatively. Mean follow-up for this operation is only 2 years, but 88% of the survivors lead a normal life, two thirds of them receiving no treatment. There has been one reoperation for stenosis of a Dacron conduit with a good result. Late arrhythmias are well tolerated. In conclusion, the Fontan procedure is a good operation, but palliative procedures still alow good long-term survival.
UR - http://www.scopus.com/inward/record.url?scp=0020537354&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0020537354&partnerID=8YFLogxK
M3 - Article
C2 - 6827851
AN - SCOPUS:0020537354
VL - 85
SP - 440
EP - 446
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
SN - 0022-5223
IS - 3
ER -