Hemodynamic outcomes in patients undergoing bidirectional cavopulmonary connection with additional or antegrade pulmonary blood flow: a single-centre retrospective study.

ABSTRACT:

Background

The bidirectional cavopulmonary connection (BCPC) is a pivotal stage in the surgical palliation of single-ventricle patients. However, there is ongoing debate regarding the benefits and drawbacks of BCPC with additional or antegrade pulmonary blood flow (AAPBF) in optimizing the subsequent stage-total cavopulmonary connection (TCPC).

Objective

To determine the influence of BCPC with AAPBF on pulmonary artery growth and hemodynamic outcomes.

Methods

A retrospective review was conducted of 167 single-ventricle patients who underwent BCPC at Siriraj Hospital between 2006 and 2022. Patients were categorized into two groups based on AAPBF status: group 1 (with AAPBF, n = 44) and group 2 (without AAPBF, n = 123). Variables from pre-BCPC and pre-TCPC

SUBMITTER: Puthikitakawiwong K 

PROVIDER: S-EPMC12510245 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature