Full text of the clinical outcomes of damuskayestansel. Double inlet left ventricle congenital heart disease cove point. Damus kaye stansel pdf the damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. Echocardiography vector flow mapping can assess dynamic flow to treat congenital heart diseases. Damuskayestansel procedure avoids coronary obstruction. In these patients, the damus kaye stansel procedure dks is a useful approach for the treatment of systemic. However, there have been few reports on which surgical technique shows a better outcome. After the damuskayestansel procedure, the kinetic energy would increase owing to the integrated systemic outflow. 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. 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. Damuskayestansel procedure for left ventricular outflow.
The clinical outcomes of damus kaye stansel procedure according to surgical technique. Energetic performance index improvement after glenn and damus. Technical modifications hillel laks, md, richard n. The damuskayestansel dks anastomosis was originally described for the treatment of transposition of the great arteries but it is now used.
Pdf epicardial echocardiography eecho is a useful approach to intraoperative. The damus kaye stansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed rudimentary outflow chamber. We are proud to list acronym of dks in the largest database of abbreviations and acronyms. The damuskayestansel procedure was performed in 18 patients doublebarrel anastomosis in, end to side anastomosis in 5, and subaortic resection or ventricular septal defect or. The yasui procedure is a pediatric heart operation used to bypass the left ventricular outflow tract lvot that combines the aortic repair of the norwood procedure and a shunt similar to that used in the rastelli procedure in a single operation. Thirtynine patients underwent pulmonary artery banding before the damuskayestansel operation. 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 operation in a 21yearold female with complicated congenital heart disease consisting of an atrioventricular canal with predominance of the right ventricle and hypoplastic left ventricle functionally single ventricular heart, severe subaortic stenosis, and bilateral superior venae cavae. Spray, md divisions of cardiothoracic surgery and pediatric cardiology, washington university school of medicine, st. Systemic to pulmonary artery shunt in damus kaye stansel. Damuskayestansel with cavopulmonary connection for. Damus kayestansel with cavopulmonary connection for single ventricle and subaortic obstruction charles b. The damus kaye stansel procedure is one of several surgical operations used in double inlet left ventricle congenital heart disease cases.
The meaning of dks abbreviation is damus kaye stansel. The damuskayestansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction. There must be two distinct and separate semilunar valves before this diagnosis can be made. Repair, right ventricle to pulmonary artery conduit. Outcome of norwood and damus kaye stansel procedures for univentricular congenital heart anomalies. Systemic to pulmonary artery shunt in damus kaye stansel operation igor donis.
We report the case of a 37yearold female who underwent fontan completion as an adult and subsequently presented with systemic outflow tract obstruction. Dks damus kaye stansel looking for general definition of dks. Damus kaye stansel procedure for left ventricular outflow tract obstruction late after modified fontan operation in patients with doubleinlet left ventricle. Use of the damuskayestansel procedure prevents increased. The damuskayestansel dks procedure is a method for mitigating the risk of 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. The damuskayestansel dks procedure is a cardiovascular surgical procedure used as.
This operation is used for in doubleinlet left ventricle, tricuspid. Damuskayestansel procedure congenital heart disease. Midterm followup and technical considerations thomasl. Modification of the damuskayestansel procedure request pdf. The image to the left illustrates one surgical option the damus kaye stansel procedure, in which the aorta and pulmonary artery are joined using a. The objective of this study was to compare the outcome of the dks procedure according to the surgical technique used. Modifications of the technique include transection of the aorta and the pulmonary artery, anastomosis of the contiguous aortic and pulmonary walls, and. Modified damuskayestansel procedure for single ventricle.
Between october 1983 and august 1991, 29 consecutive damus stansel kaye procedures were performed. Damuskayestansel procedure procedimiento damus kaye stansel. Pdf epicardial echocardiography in pediatric and congenital. A modified damuskayestansel procedure is one of several options for palliation of single ventricle with subaortic obstruction, but results in neonates have been disappointing. Indications for operation included restrictive bulboventricular foramen or subaortic stenosis associated with complex univentricular congenital heart. Excessive pulmonary blood flow in double inlet left ventricle may be corrected by the insertion of a band around the trunk of the. Please see ventricular septal defect repair, arterial switch procedure, nikaidoh repair, damuskayestansel. Seven of 119 patients undergoing anatomical correction for transposition of the great arteries and taussigbing anomalies without pulmonary stenosis had the damus stansel kaye procedure and the rest, the arterial switch.
The following image shows one of the definitions of dks in english. Absence of the main pulmonary trunk and pulmonary valve at this stage makes a conventional damus kaye stansel connection difficult to achieve. One of the definitions of dks is damus kaye stansel. Damus kaye stansel procedure the diagram at left illustrates the damus kaye stansel procedure, in which the aorta and pulmonary artery are joined using a. For example, the damus kaye stansel procedure, followed by the glenn procedure and the fontan procedure as the final stage of single ventricle palliation.
This procedure joins the pulmonary artery and the aorta in situations where the systemic circulation is obstructed. It is not used for treatment of hypoplastic left heart syndrome which is treated using the norwood procedure. It is used to repair defects that result in the physiology of hypoplastic left heart syndrome even though both ventricles are functioning normally. Lamberti, md division of cardiac surgery, childrenshospital and health center, san diego, california. A 9monthold boy underwent glenn and damus kaye stansel. Louis, missouri infants with single ventricle and transposition of the. Pulmonary artery banding before the damus kaye stansel procedure. The damus kaye stansel dks procedure seems to be one of the options, but it is less of a possibility in these patients, who usually have direct pulmonary arterial closure. Double inlet left ventricle congenital heart disease. Damuskayestancel procedure definition of damuskaye.
Doublebarrel damuskayestansel operation is better than. Management of systemic ventricular outflow tract obstruction if you like this video, please visit. The damus kaye stansel operation is a useful technique for the treatment of complex cyanotic congenital heat disease when there is obstruction between the systemic ventricle and the aorta. The age of the patients having the damus stansel kaye procedure ranged from 0. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. Request pdf damuskayestansel procedure the damus kaye stansel dks operation is a palliative procedure for patients with a single functioning ventricle with an obstructed. We present a series of four neonates over 22 years with d. The clinical outcomes of damuskayestansel procedure. It is commonly used when a patient has the combination of a small left ventricle and a transposition of the great arteries tga. We evaluated intracardiac flow, energy loss, left ventricular output kinetic energy, and energetic performance index using vector flow mapping during glenn and damus kaye stansel procedures in order to assess the efficacy of the surgery.
There have been a few reports about which surgical technique shows better outcomes. The damus kaye stansel dks procedure is a method for mitigating the risk of systemic ventricular outflow tract obstruction svoto. The damus kaye stansel dks procedure is a cardiovascular surgical procedure used as part of the repair of some congenital heart defects. Outcome of norwood and damuskayestansel procedures for. Alakhfash aa1, kabbani ms, abusulaiman rm, tamimi or, elbarbary ma, najm hk. Energetic performance index improvement after glenn and.
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