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

Clinical outcomes of prophylactic Damus-Kaye- Stansel anastomosis concomitant with bidirectional Glenn procedure. Only 1 patient had mild preoperative AR, and the rest had a degree of trivial. However, functional single ventricle anomalies are usually associated with excessive pulmonary blood flow.

Chan Kyu YangM. In damuw, there was no evidence of AR or neoAR.

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

However, any functional single ventricle anomalies for example, tricuspid atresia and double inlet left ventricle with rudimentary bulboventricular foramen have the problem of systemic ventricular outflow tract obstruction SVOTO after volume reduction surgery.

Low pulmonary vascular resistance improves the outcome of the Fontan operation.

Double-barrel Damus-Kaye-Stansel operation is better than end-to-side Damus-Kaye-Stansel operation for preserving the pulmonary valve function: In our study, damua of the patients presented with a more than moderate degree of postoperative neoAR. Recurrent systemic ventricular outflow tract obstruction. There was no early death and 1 late death in group B. How Is It Treated? There was no early mortality and 1 late mortality in group B.


By kage this site, you agree to the Terms of Use and Privacy Policy. Since then, there have been numerous articles proposing modified DKS procedures. This situation may be treated by surgery.

In daus original DKS procedure, surgeons separated the main pulmonary artery MPA just below the point where it divides into the right and left pulmonary arteries.

We reviewed a small group of 12 patients, and the operation was performed by one surgeon in one institution. Eur J Cardiothorac Surg.

A comparison between the two groups was performed using the Wilcoxon signed-rank test. More than a moderate degree of postoperative AR was not seen in any of the 12 patients. In this case, there was a possibility of the deformation of the shape of the pulmonary sinus at the time of the DKS procedure. Mid-term results for double inlet left ventricle and similar morphologies: More than moderate postoperative neoaortic regurgitation was observed in 1 patient of group B; this patient underwent neoaortic valve replacement 66 months stansep the DKS procedure.

Tricuspid atresia, transposition of the great arteries, and banded pulmonary artery: Group A underwent double barrel technique, and group B was performed ascending aorta flap technique.


There may be complications after the Pulmonary Band Procedure, resulting in obstructions to the flow of blood through the aorta to the body. Stansel — who independently reported the procedure in the literature in tsansel s.

However, these procedures can cause heart block, ventricular dysfunction, and recurrent stenosis. It is 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.

J Thorac Cardiovasc Surg.

Damus–Kaye–Stansel procedure – Wikipedia

However, stamsel DKS procedure is technically difficult, and it is not easy to preserve the shape of the pulmonary sinus. Further, inFiore et al. The objective of this study was to compare the outcome of the DKS procedure according to the surgical technique used. We decided upon the DKS operation technique according to the relationship kayr the aorta and the main pulmonary artery.

Damus-Kaye-Stansel with cavopulmonary connection for single ventricle and sub-aortic obstruction.