Document Detail

Univentricular atrioventricular connection with subaortic stenosis: a staged surgical approach.
MedLine Citation:
PMID:  1379033     Owner:  NLM     Status:  MEDLINE    
A staged surgical approach was developed for the management of hearts with univentricular atrioventricular connection (double-inlet left ventricle or tricuspid atresia) and discordant ventriculoarterial connection with anatomical substrate for the development of subaortic stenosis. This consisted of initial palliation with pulmonary artery banding, followed by early elective relief of subaortic obstruction using a proximal pulmonary artery to ascending aorta anastomosis in infancy. Pulmonary blood flow was maintained at this time by creating a bidirectional superior cavopulmonary anastomosis. Over an 18-month period, 5 children, including 4 seen in the first week of life with aortic arch obstruction, were palliated with this approach. All patients survived operation and are asymptomatic with transcutaneous oxygen saturations of 80% to 85%. Completion of cavopulmonary repair is planned at 2 years of age. Although some authors have considered pulmonary artery banding contraindicated in these infants, the current staged approach offers an attractive alternative to the construction of a pulmonary artery to aorta anastomosis in the neonatal period.
S A Webber; S S Sett; J G LeBlanc
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  54     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-08-24     Completed Date:  1992-08-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  344-7     Citation Subset:  AIM; IM    
Department of Pediatrics, British Columbia Children's Hospital, University of British Columbia, Vancouver, Canada.
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MeSH Terms
Aortic Coarctation / complications,  surgery
Aortic Valve Stenosis / complications,  congenital,  surgery*
Heart Ventricles / abnormalities*,  surgery
Infant, Newborn
Palliative Care
Postoperative Complications
Pulmonary Artery / surgery
Tricuspid Valve / abnormalities*

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

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