Author/Authors :
Koca, Bülent Istanbul University - Cerrahpaşa Faculty of Medicine - Department of Child Health and Disease, Turkey , Eroğlu, Ayşe Güler Istanbul University - Cerrahpaşa Faculty of Medicine - Department of Child Health and Disease, Turkey , Gökalp, Selman Istanbul University - Cerrahpaşa Faculty of Medicine - Department of Child Health and Disease, Turkey , Saltık, Levent Istanbul University - Cerrahpaşa Faculty of Medicine - Department of Pediatric Cardiology, Turkey , Öztunç, Funda Istanbul University - Cerrahpaşa Faculty of Medicine - Department of Pediatric Cardiology, Turkey
Abstract :
Bidirectional cavopulmonary shunt is performed mostly as a bridge to the modified Fontan operation or as final palliation in high-risk patients with univentricular physiology (1, 2). There have been numerous studies investigating the timing of the bidirectional cavopulmonary shunt, with many showing the potential benefits of performing an early bidirectional cavopulmonary shunt procedure (3, 4). Nevertheless, age limits to perform bidirectional cavopulmonary shunt remain uncertain. Our patients were relatively older than those in series because they presented at the hospital at a later stage and were diagnosed at an older age. The purpose of this report is to evaluate the hemodynamic data of the patients after late bidirectional cavopulmonary shunt at mid-term follow-up and investigate suitability of these older patients for modified Fontan operation.