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DAMUS KAYE STANSEL PDF

The Damus-Kaye-Stansel (DKS) procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction (SVOTO). However, there have. Damus-Kaye-Stansel Operation. This procedure usually complements other corrective procedures. It was originally developed along with the Rastelli procedure. Modified Damus-Kaye-Stansel procedure for single ventricle, subaortic stenosis, and arch obstruction in neonates and infants: Midterm results and techniques.

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Some groups prefer the DKS procedure as an initial palliation for this reason.

Damus–Kaye–Stansel procedure – Wikipedia

For such cases, Fujii et al. Retrieved from ” https: In this case, there was a possibility of the deformation of the shape of the pulmonary sinus at the time of the DKS procedure. The median peak pressure gradient of subaortic stenosis was 15 mmHg range, 0 to 53 mmHg. Clinical outcomes of prophylactic Damus-Kaye- Stansel anastomosis concomitant with bidirectional Glenn procedure.

However, 7 months later, he was admitted via the emergency room owing to general weakness. This situation may be treated by surgery.

However, functional single ventricle anomalies are usually associated with excessive pulmonary blood flow. There may be complications after the Pulmonary Band Procedure, resulting in obstructions to the flow of blood through the aorta to the body. How Is It Treated? The objective of this study is to compare the outcomes of the DKS procedure according to the surgical technique used from the perspective of neo-aortic regurgitation and recurrent SVOTO, which are considered to be two major complications caused ddamus the Stxnsel procedure [ 12 — 14 ].

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Tricuspid atresia, transposition of the great arteries, and banded pulmonary artery: There was no early mortality and 1 late mortality in group B.

Double-barrel Damus-Kaye-Stansel operation is better than end-to-side Damus-Kaye-Stansel operation for preserving the pulmonary valve function: This page was last edited on 1 Augustat We decided upon the DKS operation technique according to the relationship of the aorta and the main pulmonary artery.

Table 1 The damue cardiac diagnosis and operation performed in stages.

By using this site, you agree to the Kayw of Use and Privacy Policy. They chose the DKS surgical technique according to the diameter of the ascending aorta. InMasuda et al. There have been a few reports about which surgical technique shows better outcomes.

This remains an issue under debate.

If the great arteries had the relationship of anterior-posterior, we chose the double-barrel technique group Aand if they lay side-by-side, we performed the ascending aorta flap technique group Bwhich is a type of end-to-side DKS procedure with patch augmentation [ 12 ].

This article is meaningful in that it compares the outcomes of two different surgical techniques, and to the best stanxel our knowledge, in Korea, akye is the first report to demonstrate the clinical outcomes of DKS according to the surgical technique used.

Pulmonary artery banding before ddamus Damus-Kaye-Stansel procedure. It is commonly used when a patient has the combination of a small left ventricle and a transposition of the great arteries TGA ; in this case, the procedure allows blood to flow from the left ventricle to the aorta.

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Thereafter, a bovine pericardium was used for repairing the anterior defect Fig.

The Clinical Outcomes of Damus-Kaye-Stansel Procedure According to Surgical Technique

Excessive pulmonary xtansel 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.

The results of long-term follow-up remain to be seen. Bwt, body weight; BSA, body surface area. It sstansel possible to perform the double-barrel technique in the case of a side-by-side relationship, and it is also possible to choose the ascending aorta flap technique in the case of the anterior-posterior relationship.

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Six of the 12 patients underwent Fontan completion after the DKS operation, and 3 patients were waiting Fig. Views Read Edit View history. SVOTO could result in ventricular hypertrophy, impaired diastolic function, and subendocardial ischemia with subsequent deleterious effects on the single ventricle. Midterm results of surgical treatment of systemic ventricular outflow obstruction in Fontan vamus.