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Damus–Kaye–Stansel procedure 5 years after Fontan operation with ligated main pulmonary artery

Published online by Cambridge University Press:  02 October 2012

Mohsen Karimi ,
Carol A. Rosenberg  and
William Lutin
Mohsen Karimi*
Affiliation:
Department of Surgery, Section of Pediatric Cardiothoracic Surgery, Children's Medical Center, Augusta, Georgia, United States of America
Carol A. Rosenberg
Affiliation:
Department of Perfusion, Children's Medical Center, Augusta, Georgia, United States of America
William Lutin
Affiliation:
Department of Pediatrics, Section of Pediatric Cardiology, Georgia Health Science University, Children's Medical Center, Augusta, Georgia, United States of America
*
Correspondence to: Dr M. Karimi, MD, Department of Surgery, Section of Pediatric Cardiothoracic Surgery, Georgia Health Science University, Children's Medical Center, 1446 Harper Street, BP-3107, Augusta, Georgia 30912-4050, United States of America. Tel: (706) 721 5527; Fax: (706) 721 5550; E-mail: [email protected]
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Abstract

We report a case of tricuspid atresia with transposed great arteries and rudimentary right ventricle owing to which the patient developed severe subaortic stenosis and restrictive bulboventricular foramen 5 years after her extracardiac Fontan operation. She underwent a successful modified Damus–Kaye–Stansel operation using her native pulmonary valve. Spiral cardiac computed tomography with three-dimensional reconstructions was instrumental in pre-operative surgical planning.

Keywords

Congenital heart diseasesingle ventricleleft ventricular outflow obstructionmodified Damus–Kaye–StanselFontan operation
Type
Brief Reports
Information
Cardiology in the Young , Volume 23 , Issue 4 , August 2013 , pp. 613 - 616
Copyright
Copyright © Cambridge University Press 2012 

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References

1. Fontan, F, Baudet, E. Surgical repair of tricuspid atresia. Thorax 1971; 26: 240–248.Google Scholar
2. Freedom, RM, Sondheimer, H, Dische, MR, Rowe, RD. Development of “subaortic stenosis” after pulmonary arterial banding for common ventricle. Am J Cardiol 1977; 39: 78–83.Google Scholar
3. Trusler, GA, Freedom, RM. Management of subaortic stenosis in the univentricular heart. Ann Thorac Surg 1989; 47: 643–644.CrossRefGoogle ScholarPubMed
4. Pass, RH, Solowiejczyk, DE, Quaegebeur, JM, et al. Bulboventricular foramen resection: hemodynamic and electrophysiologic results. Ann Thorac Surg 2001; 71: 1251–1254.Google Scholar
5. Cerillo, AG, Murzi, B, Giusti, S, Crucean, A, Redaelli, S, Vanini, V. Pulmonary artery banding and ventricular septal defect enlargement in patients with univentricular atrioventricular connection and the aorta originating from an incomplete ventricle. Eur J Cardiothorac Surg 2002; 22: 192–199.CrossRefGoogle ScholarPubMed
6. Broekhuis, E, Brizard, CP, Mee, RB, Cochrane, AD, Karl, TR. Damus–Kaye–Stansel connections in children with previously transected pulmonary arteries. Ann Thorac Surg 1999; 67: 519–521.Google Scholar
7. Fiore, AC, Rodefeld, M, ViJay, P, et al. Subaortic obstruction in univentricular heart: results using the double barrel Damus–Kaye–Stansel operation. Eur J of Cardiothorac Surg 2009; 35: 141–148.Google Scholar