What is DKS shunt?
The Damus–Kaye–Stansel (DKS) procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. This procedure joins the pulmonary artery and the aorta in situations where the systemic circulation is obstructed.
What is a DKS anastomosis?
The Damus-Kaye-Stansel 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.
Is DKS part of Norwood?
The Damus–Kaye–Stansel (DKS) operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. It is not used for treatment of hypoplastic left heart syndrome which is treated using the Norwood procedure.
What is Extracardiac Fontan?
The extracardiac Fontan uses an external conduit to anastomose the inferior vena cava into the pulmonary arteries, whereas a lateral tunnel Fontan uses a baffle within the right atrium (Figure 1).
Is a Glenn A shunt?
A Glenn shunt is the second of three surgeries — following the Norwood procedure and preceding the Fontan procedure — that Phoenix Children’s Hospital uses to treat a severe form of congenital heart disease called hypoplastic left heart syndrome.
How long does the Glenn procedure take?
How long does the Glenn procedure take? This surgical procedure typically takes four to five hours and the recovery time is generally shorter than after the Norwood.
What is a fenestrated Fontan?
Fenestration closure after a Fontan operation is a procedure to close the hole between your child’s heart and the tunnel that takes oxygen-poor blood from the body to the lungs. The procedure is done in the heart catheterization lab. There is a small risk that your child will have complications from the procedure.
Why is a Glenn called bidirectional?
The normal human heart has four equal-sized pumping chambers; two atrium (a right and left) and two ventricles (right and left). The right side pumps blood to the lungs, and the left side pumps blood to the rest of the body.
What is the survival rate of hypoplastic left heart syndrome?
Studies have shown 1-year survival for HLHS ranges from 20% to 60%,3–9 with relatively stable 5-year, 10-year, and 15-year survival of ~40%.
What are normal Glenn pressures?
The typical transpulmonary gradient (Glenn pressure minus left/common atrial pressure) is 6-10 mmHg.
How long can you live with a Fontan?
Since Francis Fontan first described his pioneering operation in 1968, cardiac defects that were once uniformly fatal in infancy and childhood have now be palliated well into adulthood, with an overall estimated 30-year survival of over 80%.
What is Hemi Fontan?
Called the hemi-Fontan or Glenn operation, the second procedure usually occurs within six months of birth. During this surgery the superior vena cava — a large vein that carries deoxygenated blood from the upper body into the heart — is disconnected from the heart and attached to the pulmonary artery.
Can you live with hypoplastic left heart syndrome?
Without surgery, hypoplastic left heart syndrome is deadly, usually within the first few days or weeks of life. With treatment, many babies survive, although most will have complications later in life. Some of the complications might include: Tiring easily when participating in sports or other exercise.