Key result
Bicaval anastomosis yields similar exercise capacity to biatrial technique in pediatric heart transplant recipients.
Why the study?
Does bicaval anastomosis improve exercise performance compared to standard biatrial technique in pediatric heart transplant recipients?
Does bicaval anastomosis improve exercise performance compared to standard biatrial technique in pediatric heart transplant recipients?
Bicaval anastomosis does not significantly differ from the standard biatrial technique regarding exercise endurance and peak heart rates in pediatric heart transplant recipients.
Comparable exercise capacity with bicaval or biatrial anastomosis in pediatric recipients; leaves open optimal technique for functional outcomes.
The exercise performance of pediatric heart transplant recipients and the effects of bicaval anastomosis were studied in 19 children using a Bruce protocol. Although all children had decreased exercise capacity and heart rates when compared with normals, the bicaval anastomosis patients had similar endurance and peak heart rates as the standard biatrial group.
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Pahl et al. (2000) studied this question. Bicaval anastomosis resulted in similar endurance and peak heart rates as the standard biatrial technique in pediatric heart transplant recipients, though all had decreased capacity versus normals.
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