Conclusion
With the development of new surgical methods for the treatment of SV
heart defects, it is important to understand the long-term outcomes for
patients who have not been operated on.29While the
Fontan operation has become a common and effective method for SV
treatment, long-term outcomes are fraught with morbidity and mortality .
The majority of patients in our series and in the literature to
demonstrate advanced survival had DILV and PS.In our opinion,such
patients with balanced hemodynamic condition should be followed and
treated conservatively. Major cardiac surgery which leads to gross
hemodynamic adjustments should be avoided.30 The
optimal timing for surgery and appropriate surgical method can be
determined based on: 1) the patient’s symptoms and specific diagnosis of
SV heart defect, and 2) the following conditions: the anatomy of the
parting and concurrent heart malformations, the development of the PA,
the amount of pressure and resistance, and ventricular function, with a
significant aim to reduce mortality and improve the prognosis as well as
quality of life of SV patients.