Aortic valve atresia or severe hypoplasia and ventricular. Modification of the damuskayestansel procedure request pdf. The damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. B, in patient 2, reconstruction of the bivalved systemic outflow after aortic transection was done. Long term complications atrial switch arrhythmias sudden death obstruction of venous return progressive rv dysfunction arterial switch. In addition, modifications of the damuskayestansel dks procedure are also. Outcome of norwood and damuskayestansel procedures for. Echocardiographic evidence of systolic aortic regurgitation following a damus kaye stansel procedure for palliation of complex doubleoutlet right ventricle is presented.
We aim to evaluate the value of damus kaye stansel dks anastomosis at the time of cpc in eliminating late svoto risk. The objective of this study was to compare the outcome of the dks procedure according to the surgical technique used. Since then, the procedure has been applied to patients with several forms of complex congenital heart disease in. Energetic performance index improvement after glenn and. Conduit interposition from right ventricle to distal pulmonary artery 4. A 12lead electrocardiogram of the clinical arrhythmia. In fontan candidates, we have recently been aggressively performing the damus kaye stansel procedure dks to prevent increased afterload o we use cookies to enhance your experience on our website. Scheme of damus kaye stansel procedure in both patients.
August 17, 2019 admin travel leave a comment on damus kaye stansel pdf. Jan 01, 2009 read subaortic obstruction in univentricular heart. It was originally developed along with the rastelli procedure. Cardiac magnetic resonance imaging and multidetector. Although the aim of our article 2 was how to avoid the use of prosthetic materials to construct damus kaye stansel anastomosis, they used our article. By continuing to use our website, you are agreeing to our use of cookies. Review echocardiography and outcomes before and after ross procedures, including patients undergoing biventricular conversion with damus kaye stansel dks takedown.
Thirtynine patients underwent pulmonary artery banding before the damuskayestansel operation. Modified damuskayestansel procedure for single ventricle, subaortic stenosis, and arch obstruction in neonates and infants. It is commonly used when a patient has the combination of a small left ventricle and a transposition of the great arteries tga. Atrial septal defect repair atrioventricular canal repair bidirectional glenn shunt procedure blalocktaussig shunt damus kaye stansel procedure a free powerpoint ppt presentation displayed as a flash slide show on id. Pdf outcome of norwood and damuskayestansel procedures.
Clinical outcomes of prophylactic damus kaye stansel anastomosis concomitant with bidirectional glenn procedure masatoshi shimada, md,a takaya hoashi, md,a koji kagisaki, md,a isao shiraishi, md,b toshikatsu yagihara, md,a and hajime ichikawa, mda objective. A valved conduit was interposed between the native pulmonary annulus and the ascending aorta to create a modified damus kaye stansel type connection. Apr 15, 20 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. The damus kaye stansel dks operation was first described in 1975 independently by 3 authors, damus, 1 kaye, 2 and stansel, 3 and was soon felt to be an effective method to relieve systemic ventricular outflowtract obstruction in patients with ventriculoarterial discordance. Article information, pdf download for modified damuskayestansel.
Diagnoses were doubleinlet left ventricle n 12, tricuspid atresia n 2, and other forms of hypoplastic ventricle with. The blue tube is known as a modified blalocktaussig shunt. A, in patient 1, patch reconstruction of the additional lvot was done. Patients with a functionally single ventricle and unrestricted pulmonary blood flow may develop systemic ventricular outflow tract obstruction after volume reduction surgery such as pulmonary artery banding or bidirectional glenn bdg or fontan operations. The cove point foundation congenital heart resource center is the worlds largest resource for information on pediatric and adult congenital heart disease. Damus kaye stansel pdf the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. The clinical outcomes of damuskayestansel procedure. Technical modifications hillel laks, md, richard n. List of topics congenital heart disease cove point. Modified damuskayestansel procedure for single ventricle. The damus kaye stansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects.
The damus stansel kaye procedure is an attractive option because it is extracardiac and avoids ventriculotomy, heart block, and the use of a conduit. In addition, modifications of the damus kayestansel dks procedure are also. Ppt surgical procedures powerpoint presentation free. Damus kaye stansel procedure has been performed in 14 neonates and seven infants with single ventricle and subaortic stenosis, including 15 with arch obstruction. Damuskayestansel procedure avoids coronary obstruction in. A ninemonthold girl diagnosed with anatomically corrected malposition atrioventricular discordance, ventriculoarterial concordance, and malposed great arteries complicated by multiple ventricul. There must be two distinct and separate semilunar valves before this diagnosis can be made. Doublebarrel damuskayestansel operation is better than end. Color flow mapping and doppler interrogation following the damus kaye stansel procedure. Staged surgical management of anatomically corrected. One patient had mild to moderate pulmonic insufficiency but died late presumably of an arrhythmia. Atrial fibrillation ablation without pulmonary vein. A modified damuskayestansel procedure is one of several options for. View enhanced pdf access article on wiley online library html view download pdf for offline viewing.
Efficacy of damuskayestansel procedure in patients with. Modification of the damuskayestansel procedure without the. The clinical outcomes of damus kaye stansel procedure according to surgical technique article pdf available in korean journal of thoracic and cardiovascular surgery 474. In these patients, the damus kaye stansel procedure dks is a useful approach for the treatment of systemic. Patent ductus arteriosus pda is the failure of the fetal ductus arteriosus to. Use of the damuskayestansel procedure prevents increased. After the damus kaye stansel procedure, the kinetic energy would increase owing to the integrated systemic outflow. Evaluation with cardiovascular mr imaging of baffles and conduits used in palliation or repair of congenital heart disease. Pdf pulmonary artery banding before the damuskayestansel. Pdf damuskayestansel with cavopulmonary connection for. This procedure usually complements other corrective procedures. We report the case of a 37yearold female who underwent fontan completion as an adult and subsequently presented with systemic outflow tract obstruction.
Damuskayestansel anastomosis in a patient with tricuspid atresia, transposition of the great. They reported how to modify the damus kaye stansel procedure to prevent the use of prosthetic materials. We conclude that neonatal pulmonary artery banding coupled with planned early debanding, a damus kaye stansel procedure, and cavopulmonary anastomosis is a relatively lowrisk course for patients with this complex physiology. Transposition of the great arteries with valvular and subvalvular aortic stenosis 5. Doublebarrel damuskayestansel operation is better than. We present a series of four neonates over 22 years with d. Damus anastomosis associated with revrastelli procedure. Modified damuskayestansel procedure subsequent to pulmonary.
Jun 01, 2006 read modified damuskayestansel procedure using aortic flap technique for systemic ventricular outflow tract obstruction in functionally univentricular heart, european journal of cardiothoracic surgery on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Aortic valve atresia, or severe hypoplasia associated with ventricular septal defect and normalsized ventricles, is an exceptional entity in neonates. However, there have been few reports on which surgical technique shows a better outcome. In the presence of arch obstruction, this procedure is typically performed with circulatory arrest, which may contribute to neurologic insult. Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction. The other associated procedures were atrial septectomy in 7 patients, pulmonary angioplasty with bovine pericardium in 3 patients, and neoaortopexy in 1 patient. A view of the completed anastomosis, also shown is a bidirectional glenn shunt. We performed the damus kaye stansel procedure with some technical modifications to overcome these concerns in 2 children and observed a competent pulmonary valve and a patent damus kaye stansel. Damus anastomosis associated with revrastelli procedure allows to extend indications for anatomical repair in complex transposition of great arteries, interactive cardiovascular and thoracic surgery, 2014, pp. Modified damuskayestansel procedure using aortic flap.
The objective of this study was to compare the outcome of the dks procedure according to the surgical technique. A valved conduit was interposed between the native pulmonary annulus and the ascending aorta to create a modified damus kaye stansel. The aim of this study was to evaluate efficacy of damus kaye stansel dks anastomosis. Right anterior oblique and left anterior oblique views of the fontan circuit light green. Pdf the clinical outcomes of damuskayestansel procedure. The damus kaye stansel connection pulmonary artery to aorta is seen in the left. The damuskayestansel dks operation was first described in 1975 independently by 3 authors, damus, 1 kaye, 2 and stansel, 3 and was soon felt to be an effective method to relieve systemic ventricular outflowtract obstruction in patients with ventriculoarterial discordance. Damus kaye stansel anastomosis yasuhiro fujii 1, shunji sano 1, sadahiko arai 1, shingo kasahara 1, atsushi tateishi 1, masami takagaki 1, yasufumi fujita 1, susumu ozawa 1. A proposed operation for transposition of the great vessels. Modified approach to the damus stansel kaye procedure.
In first stage of the procedure, the aorta and pa were divided at the same level above the sinotubular junction. Both the damus kaye stansel procedure and pulmonary artery banding provide an effective palliative technique in certain subsets of patients, but this combination of procedures is potentially hazardous in pulmonary valve geometry. Cardiac magnetic resonance imaging and multidetector computed. Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction svoto following volume unloading with cavopulmonary connection cpc. Pulmonary artery banding pab and ventriculoarterial discordance vad were reported to be risk factors of subaortic stenosis in univentricular heart. If you are visiting our nonenglish version and want to see the english version of damus kaye stansel, please scroll down to the bottom and you will see the meaning of damus kaye stansel in english language. Damus kaye stansel procedure, is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. The damuskayestansel dks procedure is a cardiovascular surgical procedure used as. Management of univentricular heart with systemic ventricular outflow obstruction by pulmonary artery banding and damus kaye stansel. Damuskayestansel procedure avoids coronary obstruction. The damuskayestansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. Pa banding is rarely necessary for infants with chf resulting from increased pbf. Pdf background the damuskayestansel dks procedure is a method for mitigating the risk of systemic. The damus kaye stansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber.
Modified damus kaye stansel procedure for single ventricle, subaortic stenosis, and arch obstruction in neonates and infants. Damuskayestansel with cavopulmonary connection for. Outcome of norwood and damus kaye stansel procedures for univentricular congenital heart anomalies ali a. This procedure joins the pulmonary artery and the aorta in situations where the systemic circulation is obstructed. Damus kaye stansel and shunt operation the aorta and pulmonary artery are joined using a patch pink. The damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. A modified damus kaye stansel procedure is one of several options for palliation of single ventricle with subaortic obstruction, but results in neonates have been disappointing.
Damuskayestansel anastomosis in a patient with tricuspid atresia. Cove point contains comprehensive information on all congenital heart defects, including atrial septal defect asd, ventricular septal defect vsd, hypoplastic left heart syndrome hlhs, and tetralogy of fallot tof. Since 1990, a modified damus kaye stansel procedure. The damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. The damus kaye stansel dks procedure was created from the stanford technique using bovine pericardium along with a right bidirectional glenn shunt bdg. John stansel taylor, american politician, citrus grower, and businessman damuskayestansel procedure, is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects.
Aorta appears in pink, atretic right ventricle in red, systemic and morphologically left ventricle in dark blue, and left atrium in light blue. They referred to our article 2 as reference 5 in their article 1. Outcomes of damuskayestansel anastomosis at time of. After the glenn and damus kaye stansel procedures, we detected an improvement in energetic performance index, indicating that the cardiac workload improved as well. Modified damuskayestansel connection for systemic outflow. It is not used for treatment of hypoplastic left heart syndrome which is treated using the norwood procedure. This is a matter of vital concern, especially in patients whose pulmonary arteries have to work after operations as the major systemic output routes. Ppt surgical procedures powerpoint presentation free to. Main pulmonary artery to ascending aorta endtoside anastomosis 2. A, in patient i, patch reconstruction of the additional lvot was done. Damuskayestansel procedure for left ventricular outflow. Atrial septal defect repair atrioventricular canal repair bidirectional glenn shunt procedure blalocktaussig shunt damuskayestansel procedure a free powerpoint ppt presentation displayed as a flash slide show on id.
Damus kaye stansel with cavopulmonary connection for single ventricle and subaortic obstruction. Jan 21, 2020 after the glenn and damus kaye stansel procedures, we detected an improvement in energetic performance index, indicating that the cardiac workload improved as well. Mar 15, 2016 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. If an internal link intending to refer to a specific person led you to this page, you may wish to change that link by adding the persons given. Stansel procedure and right ventricle to pulmonary artery conduit. Energetic performance index improvement after glenn and damus.
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