Document Detail

Modified Fontan procedure: atrial baffle and systemic venous to pulmonary artery anastomotic techniques.
MedLine Citation:
PMID:  2980014     Owner:  NLM     Status:  MEDLINE    
Two technical modifications to the modified Fontan procedure are presented. Systemic venous to pulmonary artery continuity is achieved by superior vena cava (SVC) division and end to side anastomosis to the right pulmonary artery (RPA), particularly following a right Blalock shunt, or by RPA division and anastomosis to the SVC, particularly in the presence of RPA stenosis. Intra-atrial partitioning is achieved by a systemic venous baffle rather than a pulmonary venous baffle. This is particularly useful in the presence of left atrioventricular valve atresia, but may be a preferable technique with double-inlet single ventricle or single ventricle with common AV valve. These techniques were applied successfully to 10 of 12 children with various forms of single ventricle, including 5 with left AV valve atresia or stenosis.
R A Jonas; A R Castaneda
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  3     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1992-04-09     Completed Date:  1992-04-09     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:  91-6     Citation Subset:  IM    
Department of Cardiac Surgery, Children's Hospital, Boston, Massachusetts 02115.
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MeSH Terms
Anastomosis, Surgical / methods*,  mortality,  standards
Blood Vessel Prosthesis
Boston / epidemiology
Cardiac Surgical Procedures / methods*,  mortality,  standards
Child, Preschool
Follow-Up Studies
Heart Atria / surgery*
Heart Defects, Congenital / diagnosis,  mortality,  surgery*
Hospitals, Pediatric
Pulmonary Artery / surgery*
Survival Rate
Vena Cava, Superior / surgery*

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

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