Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
November 1, 1995Circulation

Loss of Sinus Rhythm After Total Cavopulmonary Connection

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does total cavopulmonary connection increase the loss of sinus rhythm compared to the Fontan procedure in patients with functional single ventricle?

Population

36 pediatric patients with functional single ventricle undergoing surgical repair.

Comparison

Total cavopulmonary connection (TCPC) vs Fontan procedure

Design

Cohort

Follow-up

Mean 7.7 +/- 2.7 years for Fontan versus 2.8 +/- 1.6 years…

Authors

RKRae-Ellen W. KaveyUniversity of Rochester Medical CenterWGWinston E. GaumUniversity of Cincinnati Medical CenterCBCraig J. ByrumSUNY Upstate Medical University

Discussion

Loading...

Member takes

Implication

TCPC was associated with greater sinus rhythm loss than Fontan; leaves open need for larger studies on arrhythmia impact and surgical modifications.

Structured PICO

Does total cavopulmonary connection increase the loss of sinus rhythm compared to the Fontan procedure in patients with functional single ventricle?

P
Population
36 pediatric patients with functional single ventricle (tricuspid or pulmonary atresia, single ventricle, or hypoplastic left heart syndrome) undergoing surgical repair.
I
Intervention
Total cavopulmonary connection (TCPC)
C
Comparator
Fontan procedure
O
Outcome
Presence of sinus rhythm on postoperative ECG (first postdischarge and at 2 years postoperatively)surrogate

Total cavopulmonary connection is associated with a significantly higher incidence of postoperative loss of sinus rhythm compared to the classic Fontan procedure, likely due to surgical compromise of the sinus node area.

Cite This Study

Kavey et al. (1995) studied this question.

synapsesocial.com/papers/6a71a21626770c2b8de12d67https://doi.org/10.1161/01.cir.92.9.304
View Full Paper
Ask AI
Bookmark
Share