Document Detail

Right ventricle-to-aorta conduit in pulmonary atresia with intact ventricular septum and coronary sinusoids.
MedLine Citation:
PMID:  8267445     Owner:  NLM     Status:  MEDLINE    
A 20-month-old girl with pulmonary atresia, intact ventricular septum, and ventriculocoronary connections underwent successful interposition of a right ventricle-to-aorta conduit and Fontan operation. The patient initially had a modified Blalock-Taussig shunt at birth and subsequently a bidirectional Glenn shunt at 8 months of age. After Fontan and right ventricle-to-aorta conduit placement, the suprasystemic right ventricular pressure dropped to systemic levels without causing myocardial injury. Additionally, the right ventricular cavity enlarged. We believe that the use of a right ventricle-to-aorta conduit should provide a valuable alternative and improve the outlook of certain patients with pulmonary atresia, intact ventricular septum, and ventriculocoronary connections.
J E Freeman; S Y DeLeon; S Lai; E A Fisher; E P Ow; R Pifarré
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  56     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-01-25     Completed Date:  1994-01-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1393-5     Citation Subset:  AIM; IM    
Department of Cardiovascular-Thoracic Surgery, Loyola University Medical Center, Maywood, Illinois 60153.
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MeSH Terms
Cardiac Surgical Procedures / methods
Coronary Vessel Anomalies / surgery*
Heart Defects, Congenital / surgery*
Pulmonary Artery / abnormalities*

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