Document Detail

Corrective surgery for tricuspid atresia: which modification of Fontan-Kreutzer procedure should be used? A review.
MedLine Citation:
PMID:  1539528     Owner:  NLM     Status:  MEDLINE    
Various modifications of Fontan-Kreutzer procedure have evolved over the years. The available literature was reviewed in an attempt to evaluate whether one of these operations is preferable to others. Although there is no complete agreement, direct atriopulmonary anastomosis in the absence of a subpulmonary ventricular chamber, and atrioventricular connection via a homograft conduit in patients with a good-sized (greater than 30% of normal), well-formed (with both trabecular and outlet portions) right ventricle appear to be reasonable choices. In patients with more than the usual risk or at low risk for the Fontan-Kreutzer procedure, other alternatives (namely, total cavopulmonary connection for patients with asplenia/polysplenia syndrome and systemic venous anomalies and bidirectional cavopulmonary anastomosis or Fontan-Kreutzer with a small temporary atrial septal defect) could be considered. The role of experimental skeletal muscle augmentation or replacement of right heart chambers and cardiac transplantation in the corrective treatment of tricuspid atresia needs to be defined as more data become available.
P S Chopra; P S Rao
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American heart journal     Volume:  123     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1992 Mar 
Date Detail:
Created Date:  1992-03-30     Completed Date:  1992-03-30     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  758-67     Citation Subset:  AIM; IM    
Department of Surgery, University of Wisconsin Medical School, Madison.
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MeSH Terms
Anastomosis, Surgical
Blood Vessel Prosthesis
Cardiac Surgical Procedures / mortality
Heart Atria / surgery*
Heart Ventricles / surgery
Pulmonary Artery / surgery*
Risk Factors
Tricuspid Valve / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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