Document Detail

Fenestrated exclusion of the right ventricle for tricuspid atresia and absent pulmonary valve.
MedLine Citation:
PMID:  20667372     Owner:  NLM     Status:  MEDLINE    
The case of a boy who had an absent pulmonary valve, tricuspid atresia, intact ventricular septum, coronary-to-right-ventricular fistula, and dysplasia of the right ventricular free wall is described. At the bidirectional cavopulmonary shunt procedure, the right ventricular free wall was opened and two major fistula orifices to the cavity were closed with sutures. A fenestrated circular patch was placed in the main pulmonary artery and the right ventricular free wall was plicated. The patient then underwent completion for total cavopulmonary connection. Follow-up catheterization showed that the pulmonary artery was partially excluded with minimal pressure wave conduction from the right ventricle, which significantly shrank. This new approach seems to be effective and reproducible in this particular situation.
Hirofumi Kasahara; Ryo Aeba; Ryohei Yozu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  90     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2010-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  647-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Division of Cardiovascular Surgery, Keio University, Tokyo, Japan.
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MeSH Terms
Abnormalities, Multiple / surgery*
Cardiac Surgical Procedures / methods
Heart Defects, Congenital / surgery*
Heart Ventricles / surgery*
Infant, Newborn
Pulmonary Valve / surgery*
Tricuspid Atresia / surgery*

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