Document Detail


Successful staged Fontan completion for truncus arteriosus with hypoplastic left ventricle.
MedLine Citation:
PMID:  20103368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of truncus arteriosus type II with a large outlet ventricular septal defect and a hypoplastic left ventricle. The first-stage palliation was the removal of both branch pulmonary arteries from the ascending aorta, patch augmentation of the pulmonary artery confluence, and modified Blalock-Taussig shunt at age 1 month. The second stage palliation was a bidirectional Glenn at 6 months. The final stage was an extracardiac Fontan at age 3 years. Eight years later, the patient is doing well, with an unobstructed Fontan pathway and mild-to-moderate truncal valve insufficiency.
Authors:
Takaya Hoashi; Edward L Bove; Richard G Ohye
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-02-17     Revised Date:  2010-10-28    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  635-7     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Division of Pediatric Cardiovascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
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MeSH Terms
Descriptor/Qualifier:
Blood Vessel Prosthesis Implantation
Child
Child, Preschool
Cineangiography
Echocardiography
Echocardiography, Doppler
Follow-Up Studies
Fontan Procedure / methods*
Heart Septal Defects, Atrial / diagnosis,  surgery
Heart Septal Defects, Ventricular / diagnosis,  surgery
Heart Ventricles / abnormalities*
Humans
Hypoplastic Left Heart Syndrome / diagnosis,  surgery*
Infant
Infant, Newborn
Male
Palliative Care
Polytetrafluoroethylene
Postoperative Complications / diagnosis
Pulmonary Artery / surgery
Reoperation
Truncus Arteriosus, Persistent / diagnosis,  surgery*
Vena Cava, Superior / surgery
Chemical
Reg. No./Substance:
9002-84-0/Polytetrafluoroethylene
Comments/Corrections
Comment In:
Ann Thorac Surg. 2010 Nov;90(5):1746   [PMID:  20971322 ]

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


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