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Ann Thorac Surg 1982;33:297-301
© 1982 The Society of Thoracic Surgeons

Articles

New Surgical Approach to Palliate Tricuspid Atresia in Infants

A. Santalla, M.D.*, M. Quero, M.D., S. Yen-Ho, M.D., R. Fernandez Espino, M.D., J.M. Brito, M.D., M. Arteaga, M.D.

From the Unidad Médico-Quirúrgica de Cardiología Pediátrica, Madrid, Spain

Accepted for publication March 23, 1981.

* Address reprint requests to Dr. Santalla, Unidad Médico-Quirúrgica de Cardiología Pediátrica, Centro Especial Ramón y Cajal, Madrid-34, Spain

An experimental surgical technique is proposed to increase pulmonary blood flow in tricuspid atresia with normally related great arteries. The method consists of the creation of a ventricular septal defect in the infundibular septum by means of a closed surgical procedure. The expected advantage would be the growth of the right ventricular cavity. This would permit performance of a Fontan's procedure later, using the right atrium and the right ventricle.

Microscopic sections from the hearts of 4 infants showed no damage in the conduction system. When performed in the beating hearts of dogs, the feasibility of the procedure was tested repeatedly without production of rhythm disturbances.






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