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Converting Fontan-Björk to 1.5- or 2-Ventricle Circulation.

Authors :
Hopkins KA
Brown JW
Darragh RK
Kay WA
Source :
The Annals of thoracic surgery [Ann Thorac Surg] 2019 Apr; Vol. 107 (4), pp. e259-e261. Date of Electronic Publication: 2018 Oct 10.
Publication Year :
2019

Abstract

Patients with tricuspid atresia and ventricular septal defect have in the past occasionally undergone a Fontan with "Björk" modification to create a connection between the right atrium and the right ventricular outflow tract. Although rarely performed now, patients with this physiology often face severe complications requiring reintervention. We hypothesize that surgical conversion to a 2-ventricle or 1.5-ventricle circulation can improve hemodynamics, clinical status, and thus increase time to transplant. We present 2 successful cases to illustrate this idea.<br /> (Copyright © 2019 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1552-6259
Volume :
107
Issue :
4
Database :
MEDLINE
Journal :
The Annals of thoracic surgery
Publication Type :
Academic Journal
Accession number :
30315794
Full Text :
https://doi.org/10.1016/j.athoracsur.2018.07.097