Document Detail


Creation of a one-way interatrial communication in the treatment of critical pulmonary stenosis with intact ventricular septum: a case report.
MedLine Citation:
PMID:  8969384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In biventricular repair of pulmonary outflow tract obstruction with intact ventricular septum, the right ventricle is loaded with total pulmonary blood flow acutely as the right-to-left shunt is abolished by closure of the atrial septal defect (ASD). METHODS: We designed a one-way interatrial communication by creation of an atrial septal flap to reduce the excessive volume load of the right ventricle. RESULTS: This procedure was successfully performed in a 3-year-old girl undergoing definitive biventricular repair for critical pulmonary stenosis associated with tricuspid stenosis and a small right ventricle. CONCLUSIONS: We believe that creation of a one-way interatrial communication might be a good alternative to adjustable ASD and/or bidirectional Glenn shunt in biventricular repair of critical pulmonary stenosis or pulmonary atresia with intact ventricular septum.
Authors:
S F Lin; I S Chiu; R B Hsu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  11     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    1996 Sep-Oct
Date Detail:
Created Date:  1997-02-27     Completed Date:  1997-02-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  368-70     Citation Subset:  IM    
Affiliation:
Department of Surgery, National Taiwan University Hospital, Taipei.
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Echocardiography
Female
Heart Septal Defects, Atrial / complications,  surgery
Humans
Pulmonary Valve Stenosis / etiology,  surgery*,  ultrasonography
Comments/Corrections
Comment In:
J Card Surg. 1997 May-Jun;12(3):202-3   [PMID:  9395952 ]

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


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