HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Annecchino, F. P. Articles by Quaegebeur, J. Search for Related Content PubMed PubMed Citation Articles by Annecchino, F. P. Articles by Quaegebeur, J.

Ann Thorac Surg 1980;29:317-321
© 1980 The Society of Thoracic Surgeons

---

Articles

Palliative Reconstruction of the Right Ventricular Outflow Tract in Tricuspid Atresia: A Report of 5 Patients

Clinique Chirurgicale des Maladies Cardiaques, Hôpital Cardiologique du Haut-Leveque, Bordeaux, France, and from the Department of Thoracic Surgery (P. G. Brom) Academish Ziekenhuis, Leiden, The Netherlands

^* Address reprint requests to Dr. Fontan, Clinique Chirurgicale des Maladies Cardiaques, Hôpital Cardiologique du Haut-Leveque, Avenue Magellan, 33604 Bordeaux Pessac, France

Five patients with tricuspid atresia, normally related great arteries, and decreased pulmonary flow underwent reconstruction of the right ventricular outflow tract or enlargement of the ventricular septal defect (VSD) (outlet foramen) or both in order to increase pulmonary blood flow. The age of the patients ranged from 9 months to 4 years.

All patients previously had had a systemic-pulmonary artery anastomosis. Preoperative mean arterial oxygen saturation was 67.2%. A restrictive outlet foramen was enlarged in 3 patients. Infundibulectomy and enlargement of the outlet chamber with a Dacron patch were performed in 4 patients. A pulmonary valve commissurotomy alone was done in 1 patient. There were no hospital or late deaths (mean follow-up, 16 months). Four patients out of 5 have obtained symptomatic and documented (increase in partial pressure of oxygen) benefit. In 1 patient, arterial oxygen saturation failed to rise to a satisfactory level.

The surgical approach and the importance of recognition and treatment of any site of obstruction to pulmonary flow, including a restrictive VSD, are stressed.

This article has been cited by other articles:

				F. P. Annechino, F. Brunelli, A. Borghi, P. Abbruzzese, M. Merlo, and L. Parenzan Fontan repair for tricuspid atresia: Experience with 50 consecutive patients Ann. Thorac. Surg., April 1, 1988; 45(4): 430 - 436. [Abstract] [PDF]

				P. S. Rao Further Observations on the Spontaneous Closure of Physiologically Advantageous Ventricular Septal Defects in Tricuspid Atresia: Surgical Implications Ann. Thorac. Surg., February 1, 1983; 35(2): 121 - 131. [Abstract] [PDF]

				A. Santalla, M. Quero, S. Yen-Ho, R. F. Espino, J. M. Brito, and M. Arteaga New Surgical Approach to Palliate Tricuspid Atresia in Infants Ann. Thorac. Surg., March 1, 1982; 33(3): 297 - 301. [Abstract] [PDF]