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The role of Fontan's procedure and aortic translocation in the surgical management of patients with discordant atrioventricular connections, interventricular communication, and pulmonary stenosis or atresia

Published online by Cambridge University Press:  13 October 2006

Marshall L. Jacobs ,
Glenn Pelletier ,
Peter D. Wearden  and
Victor O. Morell
Marshall L. Jacobs
Affiliation:
Section of Cardiothoracic Surgery, St. Christopher's Hospital for Children, Drexel University, Philadelphia, Pennsylvania, United States of America
Glenn Pelletier
Affiliation:
Section of Cardiothoracic Surgery, St. Christopher's Hospital for Children, Drexel University, Philadelphia, Pennsylvania, United States of America
Peter D. Wearden
Affiliation:
Section of Pediatric Cardiothoracic Surgery of the Heart, Lung and Esophageal Institute, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
Victor O. Morell
Affiliation:
Section of Pediatric Cardiothoracic Surgery of the Heart, Lung and Esophageal Institute, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, United States of America
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Abstract

A variety of surgical strategies have been utilized in attempts to accomplish long-term haemodynamic stability in patients with cardiac anomalies characterized by discordant atrioventricular connections, ventricular septal defect, and severe sub-pulmonary obstruction. The majority of these patients have what is commonly referred to as congenitally corrected transposition, together with a ventricular septal defect and pulmonary stenosis or atresia, in the setting of either usual or mirror imaged arrangement of the atrial chambers and the other organs of the body. A smaller sub-group, with discordant atrioventricular connections and double outlet right ventricle, with severe sub-pulmonary obstruction or pulmonary atresia, present similar physiology, and a comparable surgical challenge.

Keywords

Biventricular repair-Mustard/Senning/Rastelliventricular septal defectcongenitally corrected transposition
Type
Discordant Atrioventricular Connections
Information
Cardiology in the Young , Volume 16 , Supplement S3: Controversies and Challenges of the Atrioventricular Junctions and Other Challenges Facing Paediatric Cardiovascular Practitioners and their Patients , September 2006 , pp. 97 - 102
Copyright
© 2006 Cambridge University Press

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