Thirty-four patients were received bidirectional cavopulmonary shunt(BCPS) form Aug. 1989 to Apr. 1991 at Sejong General Hospital, Puchon, Korea.
Their ages were from 43 days to 21 years old with 19 cases of infant, 10 from 1 to 5 years old and cases above 6 years old. Their diagnoses were as follows : 13 cases with univentricular heart, 9 tricuspid atresia, 6 double outlet of right
ventricle, 4
pulmonary atresia with intact ventricular septum, and 2 transposition of great arteries with pulmonary stenosis.
Among them, 10 patients had received other palliative operations before. The BCPS operations were performed under the cardiopulmonary bypass and 10 patients who had bilateral superior vena cava received bilateral BCPS. Other associated procedures
were 9
cases of takedown of Blalock-Taussig shunt, 3 pulmonary artery angioplasty, 1 unifocalization, 1 repair of total anomalous pulmonary venous return, 1 Damus procedure, 1 relief of subaortic stenosis, 1 right ventricular outflow tract
reconstruction
and
one case of tricuspid valve obliteration.
There were 3 operative deaths (8.8%) and two late deaths. The remainders show good postoperative state and their oxygen saturation was increased significantly.
Conclusively, the bidirectional cavopulmonary shunt is very effective and safe palliative or pro-Fontan stage operation for the many complex congenital anomalies with low pulmonary blood flow especially for the patients who have the risk of
Fontan
repair.
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