Showing papers by "Juan C. Alejos published in 1994"
TL;DR: All 3 patients who presented with the acute onset of atrial arrhythmias and upon further evaluation were found to have significant hemodynamic lesions were treated successfully with surgical conversion of their atriopulmonary connection to a lateral tunnel cavopul pulmonary Fontan.
84 citations
TL;DR: This study retrospectively analyzed both the volume and mass changes that occur perioperatively when patients with single ventricle physiology undergo a bidirectional Glenn shunt procedure, as well as the effects of age, preoperative oxygen saturation, pre operative hemoglobin, atrioventricular valve regurgitation, and mild systemic outflow obstruction upon these changes.
Abstract: The decisions for timing and type of surgical intervention in patients with a single ventricle who have significant risk factors for poor Fontan outcome are a continuing challenge. Often, these patients may be deferred further surgical intervention for a prolonged period of time because of their risk factors. The bidirectional Glenn shunt has been shown to be a very useful staging procedure for such patients.1 It offers the benefit of providing flow to the pulmonary arteries without adding additional volume burden to the ventricle. In this study we retrospectively analyzed both the volume and mass changes that occur perioperatively when patients with single ventricle physiology undergo a bidirectional Glenn shunt procedure, as well as the effects of age, preoperative oxygen saturation, preoperative hemoglobin, atrioventricular valve regurgitation, and mild systemic outflow obstruction upon these changes.
40 citations