Early pulmonary artery debanding with damuskayestansel. Between october 1983 and august 1991, 29 consecutive damus stansel kaye procedures were performed. The objective of this study was to compare the outcome of the dks procedure according to the surgical technique. Apr 15, 20 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. Pdf the clinical outcomes of damuskayestansel procedure. The damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Therefore, a neoaorta was created fay anastomosing the distal aorta endtoend with the proximal pulmonary arter. New modification of the damuskayestansel operation. Mar 15, 2016 the damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. Modified damuskayestansel procedure for single ventricle. Use of the damuskayestansel procedure prevents increased. Meaning of damuskaye stancel procedure medical term. Outcome of norwood and damus kaye stansel procedures for univentricular congenital heart anomalies ali a. We revealed the efficiency of the glenn and damus kaye stansel procedures using vector flow mapping.
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. Damus kaye stansel procedure, is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. Case report copyright 2011 the korean society of cardiology. Absence of the main pulmonary trunk and pulmonary valve at this stage makes a conventional damus kaye stansel connection difficult to achieve. The damusstanselkaye procedure is an at tractive option because it is an extracardiac operation that avoids ventriculotomy, heart block, and the use of a. A, in patient 1, patch reconstruction of the additional lvot was done. The damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary out fl ow. Damuskayestansel procedure congenital heart disease. Damus kaye stansel pdf the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. 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. Reprinted with permission from the society of thoracic surgeons ann thorac surg 1992.
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. 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. The damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Pdf background the damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction.
Mar 08, 2019 the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Pdf pulmonary artery banding before the damuskayestansel. The clinical outcomes of damuskayestansel procedure. Technical modifications hillel laks, md, richard n. 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. Energetic performance index improvement after glenn and damus. A view of the completed anastomosis, also shown is a bidirectional glenn shunt. Long term complications atrial switch arrhythmias sudden death obstruction of venous return progressive rv dysfunction arterial switch. The damus kaye stansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. We aim to evaluate the value of damus kaye stansel dks anastomosis at the time of cpc in eliminating late svoto risk. 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. 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.
Since then, the procedure has been applied to patients with. Damuskayestansel procedure for left ventricular outflow. 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. This procedure usually complements other corrective procedures. 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. Management of systemic ventricular outflow tract obstruction if you like this video, please visit. T1 damus kaye stansel procedure 5 years after fontan operation with ligated main pulmonary artery. 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. Damuskayestansel with cavopulmonary connection for. The damuskayestansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. Aug 05, 2014 the damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Cardiac magnetic resonance imaging and multidetector computed. 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. It was originally developed along with the rastelli procedure.
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. Efficacy of damuskayestansel procedure in patients with. 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. Jan 21, 2020 after the damus kaye stansel procedure, the kinetic energy would increase owing to the integrated systemic outflow. Modified approach to the damus stansel kaye procedure. There must be two distinct and separate semilunar valves before this diagnosis can be made. In the presence of arch obstruction, this procedure is typically performed with circulatory arrest, which may contribute to neurologic insult. 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. We present a series of four neonates over 22 years with d. 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. Damuskayestansel procedure avoids coronary obstruction in. 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. Lamberti, md division of cardiac surgery, childrenshospital and health center, san diego, california. Doublebarrel damuskayestansel operation is better than.
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. Case report arturo gerardo garzaalatorre, cesar david hernandezrosales, miriam cecilia solisgonzalez, ruben ruben balderramadavila. Double inlet left ventricle congenital heart disease. Efficacy of damus kaye stansel procedure in patients with univentricular heart associated with ventriculoarterial discordance and excessive pulmonary blood flow. Anastomosis of pulmonary artery to aorta damus kaye stansel procedure. Modified damuskayestanseldor procedure for a newborn with.
Damusstanselkaye procedure the annals of thoracic surgery. Interactive cardiovascular and thoracic surgery, jun 2011. This procedure joins the pulmonary artery and the aorta in situations where the systemic circulation is obstructed. By continuing to use our website, you are agreeing to our use of cookies. Modification of the damuskayestansel procedure request pdf. Looking for online definition of damuskaye stancel procedure in the medical dictionary. The damuskayestansel procedure and its modifica tions have been performed to relieve systemic outflow tract obstruction in patients with a functional single. B, in patient 2, reconstruction of the bivalved systemic outflow after aortic transection was done. Stansel procedure and right ventricle to pulmonary artery conduit. In addition, epimyocardial pacemaker implantation and. Scheme of damus kaye stansel procedure in both patients. The damuskayestansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. August 17, 2019 admin travel leave a comment on damus kaye stansel pdf.
One patient had mild to moderate pulmonic insufficiency but died late presumably of an arrhythmia. Damuskayestansel procedure avoids coronary obstruction. We aim to evaluate the value of damuskayestansel dks anastomosis at the time of cpc in eliminating late svoto risk. Thirtynine patients underwent pulmonary artery banding before the damuskayestansel operation.
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. Patent ductus arteriosus pda is the failure of the fetal ductus arteriosus to. Stansel procedure, fontan completion and tricuspid valve replacement. Outcomes of damuskayestansel anastomosis at time of. 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. It is not used for treatment of hypoplastic left heart syndrome which is treated using the norwood procedure. Modified damuskayestansel procedure using aortic flap. Indications for operation included restrictive bulboventricular foramen or subaortic stenosis associated with complex univentricular congenital heart. Damuskayestansel anastomosis in a patient with tricuspid. Damuskayestancel procedure definition of damuskaye. The damus kaye stansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber.
In addition, epimyocardial pacemaker implantation and repeated revisions had been necessary. Since 1990, a modified damus kaye stansel procedure. Pulmonary artery banding before the damuskayestansel procedure. Modification of the damuskayestansel procedure the annals of. 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. Midterm followup and technical considerations thomasl. In these patients, the damuskayestansel pro cedure dks is a useful approach for the treatment of systemic ventricular outlet obstruction 4, 5. However, there have been few reports on which surgical technique shows a better outcome. Doublebarrel damuskayestansel operation is better than end.
A modified damuskayestansel procedure is one of several options for palliation of single ventricle with subaortic obstruction, but results in. We conclude that neonatal pulmonary artery banding coupled with planned early debanding, a damus kaye stansel procedure, and cavopulmonary anastomosis is a relatively lowrisk course for patients with this complex physiology. Outcome of norwood and damuskayestansel procedures for. The objective of this study was to compare the outcome of the dks procedure according to the surgical technique used. Most infants and young children with large aneurysm showed poor clinical outcomes. The blue tube is known as a modified blalocktaussig shunt. 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. 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. Modified damuskayestansel connection for systemic outflow. Late systemic outflow tract obstruction following completion of the fontan palliation is rarely seen and is a difficult problem to treat. In these patients, the damus kaye stansel procedure dks is a useful approach for the treatment of systemic. Children with various single ventricle anomalies are at risk of developing systemic ventricular outflow tract obstruction svoto following volume unloading with cavopulmonary connection cpc.
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