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Converting Fontan-Björk to 1.5- or 2-Ventricle Circulation.
- 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.)
- Subjects :
- Abnormalities, Multiple diagnostic imaging
Abnormalities, Multiple surgery
Adult
Blalock-Taussig Procedure methods
Echocardiography, Three-Dimensional methods
Follow-Up Studies
Heart Atria surgery
Heart Septal Defects, Ventricular complications
Heart Septal Defects, Ventricular diagnostic imaging
Heart Ventricles surgery
Humans
Magnetic Resonance Imaging, Cine methods
Male
Risk Assessment
Treatment Outcome
Tricuspid Atresia complications
Tricuspid Atresia diagnostic imaging
Blalock-Taussig Procedure adverse effects
Fontan Procedure methods
Heart Septal Defects, Ventricular surgery
Hemodynamics physiology
Reoperation methods
Tricuspid Atresia surgery
Subjects
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