Advantages of temporary venoatrial shunt using centrifugal pump during bidirectional cavopulmonary shunt

Yasuhiro Kotani, Osami Honjo, Kozo Ishino, Satoru Osaki, Yosuke Kuroko, Takuya Kawabata, Shinya Ugaki, Ko Yoshizumi, Shingo Kasahara, Masaaki Kawada, Shunji Sano

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Single-ventricle palliation without the use of cardiopulmonary bypass carries advantages that reduce systemic edema and inflammatory responses; however, simple clamping of the superior vena cava (SVC) without a temporary shunt leads to increase in cerebral venous pressure and subsequent decrease in cerebral blood flow during bidirectional cavopulmonary shunt (BCPS). We report our experience of BCPS, using a centrifugal pump-assisted temporary shunt.The criteria included an unrestrictive interatrial communication, the absence of atrioventricular valve regurgitation, and the existence of an antegrade pulmonary blood flow. From August 2000, 14 children with single-ventricle physiology met the criteria. The mean age was 1.0 ± 0.9 years, and the mean weight was 8.4 ± 2.6 kg. A temporary shunt was established between the SVC and the right atrium with right-angle cannulae, which were connected to a centrifugal pump to accelerate the blood flow from the SVC to the right atrium.All patients tolerated the procedure. Mean central venous pressure was 17 ± 4 mm Hg, and transcutaneous oxygen saturation was maintained at 77 ± 8% during anastomosis. No patients required blood transfusion. There were no postoperative neurological complications.The centrifugal pump-assisted temporary shunt offered safer and more effective circulatory support than other shunt systems, with excellent venous drainage in pediatric patients undergoing BCPS.

Original languageEnglish
Pages (from-to)549-551
Number of pages3
JournalASAIO Journal
Volume52
Issue number5
DOIs
Publication statusPublished - Sep 2006

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Fontan Procedure
Superior Vena Cava
Centrifugal pumps
Blood
Heart Atria
Cerebrovascular Circulation
Central Venous Pressure
Venous Pressure
Cardiopulmonary Bypass
Constriction
Blood Transfusion
Pediatrics
Drainage
Edema
Physiology
Communication
Oxygen
Weights and Measures
Lung

ASJC Scopus subject areas

  • Biophysics
  • Bioengineering

Cite this

Advantages of temporary venoatrial shunt using centrifugal pump during bidirectional cavopulmonary shunt. / Kotani, Yasuhiro; Honjo, Osami; Ishino, Kozo; Osaki, Satoru; Kuroko, Yosuke; Kawabata, Takuya; Ugaki, Shinya; Yoshizumi, Ko; Kasahara, Shingo; Kawada, Masaaki; Sano, Shunji.

In: ASAIO Journal, Vol. 52, No. 5, 09.2006, p. 549-551.

Research output: Contribution to journalArticle

Kotani, Yasuhiro ; Honjo, Osami ; Ishino, Kozo ; Osaki, Satoru ; Kuroko, Yosuke ; Kawabata, Takuya ; Ugaki, Shinya ; Yoshizumi, Ko ; Kasahara, Shingo ; Kawada, Masaaki ; Sano, Shunji. / Advantages of temporary venoatrial shunt using centrifugal pump during bidirectional cavopulmonary shunt. In: ASAIO Journal. 2006 ; Vol. 52, No. 5. pp. 549-551.
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