A modified damuskayestansel procedure is one of several options for palliation of single ventricle with subaortic obstruction, but results in. The clinical outcomes of damuskayestansel procedure. 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. By continuing to use our website, you are agreeing to our use of cookies. Late systemic outflow tract obstruction following completion of the fontan palliation is rarely seen and is a difficult problem to treat. New modification of the damuskayestansel operation. Fetal echocardiography and perinatal management of hypoplastic left heart syndrome hlhs has resulted in immediate prostaglandin administration, appropriate medical therapy, avoidance of cardiogenic shock, and safe transfer to institutions that are equipped with comprehensive management teams. However, there have been few reports on which surgical technique shows a better outcome. This procedure joins the pulmonary artery and the aorta in situations where the systemic circulation is obstructed. The damus kaye stansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. Mar 15, 2016 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber.
The damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. The damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Stansel procedure and right ventricle to pulmonary artery conduit. Therefore, a neoaorta was created fay anastomosing the distal aorta endtoend with the proximal pulmonary arter. 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. 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. Midterm followup and technical considerations thomasl. Doublebarrel damuskayestansel operation is better than end. Double inlet left ventricle congenital heart disease. There must be two distinct and separate semilunar valves before this diagnosis can be made. The damusstanselkaye procedure is an at tractive option because it is an extracardiac operation that avoids ventriculotomy, heart block, and the use of a. Jan 21, 2020 after the damus kaye stansel procedure, the kinetic energy would increase owing to the integrated systemic outflow.
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. Reprinted with permission from the society of thoracic surgeons ann thorac surg 1992. Stansel procedure, fontan completion and tricuspid valve replacement. Pdf background the damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction.
Aug 05, 2014 the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Damuskayestansel procedure congenital heart disease. 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. Technical modifications hillel laks, md, richard n. 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. Long term complications atrial switch arrhythmias sudden death obstruction of venous return progressive rv dysfunction arterial switch.
Damuskayestansel procedure avoids coronary obstruction in. Here, we report the case of patient who was prenatally diagnosed with a large cva, who had severe left ventricular dysfunction at 21 weeks gestation for which she successfully underwent a modified damus kaye stansel dor procedure. Modified damuskayestansel procedure for single ventricle. The damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary out fl ow. The damus kaye stansel procedure is one of several surgical operations used in double inlet left ventricle congenital heart disease cases where complications have arisen, obstructing the flow of blood through the aorta to the body.
Scheme of damus kaye stansel procedure in both patients. Use of the damuskayestansel procedure prevents increased. Indications for operation included restrictive bulboventricular foramen or subaortic stenosis associated with complex univentricular congenital heart. This procedure usually complements other corrective procedures. Modified damus kaye stansel dor procedure for a newborn with severe left ventricular aneurysm dongman seo, md1, hyesung won, md2, jae kon ko, md 3, and won kyoung jhang, md 1division of pediatric cardiac surgery, departments of thoracic and cardiovascular surgery, 2obstetrics and gynecology and. The damus kaye stansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. The damuskayestansel procedure and its modifica tions have been performed to relieve systemic outflow tract obstruction in patients with a functional single. Cardiac magnetic resonance imaging and multidetector. Pulmonary artery banding before the damuskayestansel procedure. Fetal echocardiography and perinatal management of hypoplastic left heart syndrome hlhs has resulted in immediate prostaglandin administration, appropriate medical therapy, avoidance of cardiogenic shock, and safe transfer to institutions that are. Apr 15, 20 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber.
Between october 1983 and august 1991, 29 consecutive damus stansel kaye procedures were performed. B, in patient 2, reconstruction of the bivalved systemic outflow after aortic transection was done. Doublebarrel damuskayestansel operation is better than. Thirtynine patients underwent pulmonary artery banding before the damuskayestansel operation. Damusstanselkaye procedure the annals of thoracic surgery. 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 blue tube is known as a modified blalocktaussig shunt. 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. Outcome of norwood and damuskayestansel procedures for. A view of the completed anastomosis, also shown is a bidirectional glenn shunt. We aim to evaluate the value of damus kaye stansel dks anastomosis at the time of cpc in eliminating late svoto risk. Patent ductus arteriosus pda is the failure of the fetal ductus arteriosus to. Since then, the procedure has been applied to patients with. Damuskayestansel with cavopulmonary connection for.
Damus kaye stansel procedure, is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery. Meaning of damuskaye stancel procedure medical term. The objective of this study was to compare the outcome of the dks procedure according to the surgical technique used. One patient had mild to moderate pulmonic insufficiency but died late presumably of an arrhythmia. Damus kaye stansel pdf the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. 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. Anastomosis of pulmonary artery to aorta damus kaye stansel procedure. The objective of this study was to compare the outcome of the dks procedure according to the surgical technique.
Modified damuskayestanseldor procedure for a newborn with. Damuskayestancel procedure definition of damuskaye. 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. Interactive cardiovascular and thoracic surgery, jun 2011. We revealed the efficiency of the glenn and damus kaye stansel procedures using vector flow mapping. We present a series of four neonates over 22 years with d. Modification of the damuskayestansel procedure the annals of. Modification of the damuskayestansel procedure request pdf. Case report copyright 2011 the korean society of cardiology. The damuskayestansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. In addition, epimyocardial pacemaker implantation and. At the johns hopkins heart and vascular institute, our cardiologists, cardiac surgeons and pediatric cardiovascular specialists are trained to diagnose and treat congenital heart disease using cuttingedge diagnostic and surgical techniques.
Cardiac magnetic resonance imaging and multidetector computed. Pdf the clinical outcomes of damuskayestansel procedure. Most infants and young children with large aneurysm showed poor clinical outcomes. Pdf pulmonary artery banding before the damuskayestansel. Energetic performance index improvement after glenn and damus. Absence of the main pulmonary trunk and pulmonary valve at this stage makes a conventional damus kaye stansel connection difficult to achieve.
Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction svoto following volume unloading with cavopulmonary connection cpc. We aim to evaluate the value of damuskayestansel dks anastomosis at the time of cpc in eliminating late svoto risk. Excessive pulmonary blood flow in double inlet left ventricle may be corrected by the insertion of a band around the trunk of the pulmonary artery shown in yellow on the diagram at right. Damuskayestansel procedure for left ventricular outflow. Management of systemic ventricular outflow tract obstruction if you like this video, please visit. The damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. Both the damuskayestansel procedure and pulmonary artery banding provide an effective palliative technique in certain subsets of patients, but this combination of procedures is potentially. The damus kaye stansel dks anastomosis was originally described for the treatment of transposition of the great arteries but it is now used mainly for the treatment of single ventricle anomalies in patients who are at risk of developing systemic ventricular outflow tract obstruction svoto.
In the presence of arch obstruction, this procedure is typically performed with circulatory arrest, which may contribute to neurologic insult. Mar 08, 2019 the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Modified approach to the damus stansel kaye procedure. Efficacy of damuskayestansel procedure in patients with. Looking for online definition of damuskaye stancel procedure in the medical dictionary. In addition, epimyocardial pacemaker implantation and repeated revisions had been necessary. Outcomes of damuskayestansel anastomosis at time of. Lamberti, md division of cardiac surgery, childrenshospital and health center, san diego, california. It is not used for treatment of hypoplastic left heart syndrome which is treated using the norwood procedure. In these patients, the damus kaye stansel procedure dks is a useful approach for the treatment of systemic. Damuskayestansel anastomosis in a patient with tricuspid. Damuskayestansel procedure avoids coronary obstruction. A, in patient 1, patch reconstruction of the additional lvot was done.
In these patients, the damuskayestansel pro cedure dks is a useful approach for the treatment of systemic ventricular outlet obstruction 4, 5. It was originally developed along with the rastelli procedure. Outcome of norwood and damus kaye stansel procedures for univentricular congenital heart anomalies ali a. Case report arturo gerardo garzaalatorre, cesar david hernandezrosales, miriam cecilia solisgonzalez, ruben ruben balderramadavila. Modified damuskayestansel procedure using aortic flap. Modified damuskayestansel connection for systemic outflow. Congenital heart disease is a somewhat common condition that can affect almost 1 in every 100 newborns in the united states. 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. T1 damus kaye stansel procedure 5 years after fontan operation with ligated main pulmonary artery. Efficacy of damus kaye stansel procedure in patients with univentricular heart associated with ventriculoarterial discordance and excessive pulmonary blood flow. Our experience suggests that the aortic valve or subaortic valve region should be closed at the initial repair in patients with low pulmonary vascular resistance who are undergoing the damus stansel kaye procedure, to minimize the need for reoperation for aortic valve insufficiency.
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