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surgical experience with the modified blalock-taussig shunt: what we might learn from mathematical and laboratory studies?

Published online by Cambridge University Press:  23 September 2005

italo borini
Affiliation:
division of cardiovascular surgery, institute giannina gaslini, genoa, italy
maurizio marasini
Affiliation:
division of pediatric cardiology, institute giannina gaslini, genoa, italy
giuseppe cervo
Affiliation:
division of cardiovascular surgery, institute giannina gaslini, genoa, italy
giovani calza
Affiliation:
division of cardiovascular surgery, institute giannina gaslini, genoa, italy
franco lerzo
Affiliation:
division of cardiovascular surgery, institute giannina gaslini, genoa, italy
alfredo virgone
Affiliation:
division of cardiovascular surgery, institute giannina gaslini, genoa, italy
lucio zannini
Affiliation:
division of cardiovascular surgery, institute giannina gaslini, genoa, italy

Abstract

clinical experience in the treatment of patients with functionally univentricular hearts has shown the fontan operation to be much less than a perfect therapy. even in ideal patients, acquired elevation of the venous pressures in the systemic circulation, especially in the regions drained by the inferior caval vein, is only a matter of time. for this reason the treatment of this complex form of congenital heart disease is still the object of active scientific debate, as well as considerable ongoing medical and basic research.

Type
original article
Copyright
2004 cambridge university press

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