Critical Pathways for Postoperative care after Congenital Heart Surgery.
Journal of the Korean Pediatric Cardiology Society.2005;9(1):17-29.
Journal of the Korean Pediatric Cardiology Society
to Present ISSN: 1598-2890
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Management of ARDS after Surgery of Congenital Heart Disease.
Journal of the Korean Pediatric Cardiology Society.2005;9(1):6-16.
No abstract available.
Heart Defects, Congenital*
Heart Defects, Congenital*
Use of flexible Bronchoscopy in Cardiovascular Disease.
Journal of the Korean Pediatric Cardiology Society.2005;9(1):1-5.
Early and Intermediate Outcomes after the Fontan Procedure in Complex Heart Anomalies.
Journal of the Korean Pediatric Cardiology Society.2007;11(1):45-45.
Outcome of the Fontan Operation: Okayama Experience.
Journal of the Korean Pediatric Cardiology Society.2007;11(1):44-44.
No abstract available.
Fontan Procedure*
Fontan Procedure*
Outcome after Fontan Operation in Korea.
Journal of the Korean Pediatric Cardiology Society.2007;11(1):34-43.
PURPOSE: Despite extracardiac conduit Fontan had many advantages, long-term results related to longevity of conduit, and anticoagulation were not proven. This study was to evaluate the long-term outcome of hospital survivors with extracardiac Fontan circulation. METHODS: Between 1996 and 2006, 200 patients underwent extracardiac conduit Fontan operation. Median age at the Fontan operation was 3.4 years (range:16 months-35.7 years). All patients (89.5 %) except 21 patients of one stage Fontan operation underwent bi-directional cavopulmonary shunt. Fenestration was required in 85 patients (42.5%). RESULTS: There has been 6 hospital mortalities (3.0%), and 7 late mortalities (3.6%) at a mean follow-up of 52.4+/-32.2 months (range; 18days-120 months). Overall 10-years survival was 92.4 2.1%. Multivariate analysis identified severe infection at early postoperative periods (hazard ratio =12.439, P=0.001), and high pulmonary arterial pressure at preoperative period (hazard ratio=3.445, P=0.038) as risk factors for mortality. Reoperation was performed in 24 patients (12.0%), and freedom from reoperation was 82.4+/-4.1% at 10 years. Arrhythmia occurred in 32 patients (16.0%) after Fontan operation, and freedom from arrhythmia was 85.14.4% at 10 years. Risk factors for arrhythmia were heterotaxy syndrome (P=0.001), Follow up duration (P=0.027) and the age at Fontan operation (P=0.001). Freedom from thromboembolism was 92.91.9% at 10 years. The conduit cross- sectional area decreased by 14%, and the extent of decrease of the conduit cross-sectional remained stable irrespective of the follow-up duration. 95.2% of patients had New York Heart Association class I. CONCLUSIONS: After 10 years of follow-up, the overall survival, and the functional status of survivors of the extracardiac Fontan procedure are satisfactory. Fenestration has a beneficial effect on the results of high-risk Fontan patients. The incidence of late deaths, reoperations, obstructions of the cavopulmonary pathway, arrhythmias and thromboembolisms is low.
Arrhythmias, Cardiac ; Arterial Pressure ; Follow-Up Studies ; Fontan Procedure* ; Freedom ; Heart ; Heart Bypass, Right ; Heterotaxy Syndrome ; Hospital Mortality ; Humans ; Incidence ; Korea* ; Longevity ; Mortality ; Multivariate Analysis ; Postoperative Period ; Preoperative Period ; Reoperation ; Risk Factors ; Survivors ; Thromboembolism
Arrhythmias, Cardiac ; Arterial Pressure ; Follow-Up Studies ; Fontan Procedure* ; Freedom ; Heart ; Heart Bypass, Right ; Heterotaxy Syndrome ; Hospital Mortality ; Humans ; Incidence ; Korea* ; Longevity ; Mortality ; Multivariate Analysis ; Postoperative Period ; Preoperative Period ; Reoperation ; Risk Factors ; Survivors ; Thromboembolism
Prognosis and Residual Cardiovascular Problems in Postoperative Tetralogy of Fallot.
Journal of the Korean Pediatric Cardiology Society.2007;11(1):32-33.
Journal of the Korean Pediatric Cardiology Society.2007;11(1):28-31.
No abstract available.
Asian Continental Ancestry Group* ; Humans ; Mortality* ; Tetralogy of Fallot*
Asian Continental Ancestry Group* ; Humans ; Mortality* ; Tetralogy of Fallot*
Long-Term Surgical Outcomes of TOF-Severance Hospital Experience.
Journal of the Korean Pediatric Cardiology Society.2007;11(1):26-27.
No abstract available.
A Case of Balloon Valvuloplasty using Three Balloon Catheters in a Child with Pulmonic Stenosis.
Journal of the Korean Pediatric Cardiology Society.2007;11(1):22-25.
Balloon dilatation of congenital stenotic lesion of the pulmonic valve has been used. Repeated balloon dilatation of restenosed lesion after previous balloon dilatation for the pulmonic stenosis is needed in some case. We treated a case of pulmonic restenosis with using three balloon catheters in a boy. The most critical problems related the valvuloplasty are severe systemic hypotension and bradycardia due to stasis of blood flow. The use of three balloon catheters instead of single or double balloons for the pulmonic stenosis could be a alternative interventional method to preserve the preexistent forward blood flow during inflation and to minimize vascular injury in children with large valve annulus.
Balloon Valvuloplasty* ; Bradycardia ; Catheters* ; Child* ; Dilatation ; Humans ; Hypotension ; Inflation, Economic ; Male ; Pulmonary Valve Stenosis* ; Vascular System Injuries
Balloon Valvuloplasty* ; Bradycardia ; Catheters* ; Child* ; Dilatation ; Humans ; Hypotension ; Inflation, Economic ; Male ; Pulmonary Valve Stenosis* ; Vascular System Injuries
Country
Republic of Korea
Publisher
ElectronicLinks
Editor-in-chief
Abbreviation
Journal of the Korean Pediatric Cardiology Society
Vernacular Journal Title
ISSN
1598-2890
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Year Approved
2007
Current Indexing Status
Currently Indexed
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