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Ann Thorac Surg 1976;22:578-583
© 1976 The Society of Thoracic Surgeons
From the Divisions of Cardio-thoracic Surgery and Pediatric Cardiology, Cook County Hospital and the Abraham Lincoln School of Medicine of the University of Illinois, Chicago, IL
* Address reprint requests to Dr. Tatooles, Division of Cardio-thoracic Surgery, Cook County Hospital, 1825 W Harrison St, Chicago, IL 60612
Fourteen patients underwent a physiological operation for tricuspid atresia. Seven patients survived up to 3 years after operation. Six patients underwent hemodynamic studies 2 to 34 months postoperatively (mean, 15 months). Average age at the time of operation was 14 years (range, 5 to 25 years).
Postoperative studies showed 4 patients to be in sinus rhythm and 2 in junctional rhythm. Right atrial pressure was elevated an average of 17 mm Hg (range, 10 to 34 mm Hg). All patients showed good atrial transport function regardless of their rhythm. Two had a right atrium-left pulmonary artery gradient of 1.5 to 10 mm Hg across the conduit. Average arterial saturation was 92% (range, 87 to 97%), an improvement of 13% over preoperative values. Residual hypoxemia was due to pulmonary vein desaturation and to atrial right-to-left shunting early postoperatively and later, to atrial right-to-left shunting alone.
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