Document Detail

Staged partitioning of single ventricle.
MedLine Citation:
PMID:  6503319     Owner:  NLM     Status:  MEDLINE    
Five patients between the ages of 3 and 10 months underwent a two-stage septation for common ventricle. The first stage involved the placement of a small patch in the apex and a second patch between the atrioventricular and semilunar valves. A center section was left open, as if there were ventricular septal defect. A pulmonary band was placed at this time if one had not been previously placed. The second stage of the repair, consisting of closure of the ventricular septal defect, was performed 6 to 18 months after the first procedure. All five patients have survived and have been without rhythm disturbance. One patient subsequently developed pulmonary stenosis, and a right ventricle-pulmonary artery conduit has been placed. The first stage procedure seems to allow the apical and base patches to stiffen and heal to the endocardium, with fewer sutures required because the central area is open and no pressure differential exists across the patch.
P A Ebert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  88     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1984 Dec 
Date Detail:
Created Date:  1985-01-14     Completed Date:  1985-01-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  908-13     Citation Subset:  AIM; IM    
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MeSH Terms
Heart Septal Defects, Ventricular / physiopathology,  surgery*
Heart Valves / surgery
Heart Ventricles / surgery
Postoperative Complications
Pulmonary Artery / surgery
Reg. No./Substance:

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