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Florentino J. Vargas
John E. Mayer, Jr.
Richard A. Jonas
Aldo R. Castaneda
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Ann Thorac Surg 1987;43:403-405
© 1987 The Society of Thoracic Surgeons

Articles

Atrioventricular Valve Repair or Replacement in Atriopulmonary Anastomosis: Surgical Considerations

Florentino J. Vargas, M.D., John E. Mayer, Jr., M.D., Richard A. Jonas, M.D., Aldo R. Castaneda, M.D.*

Department of Cardiovascular Surgery, The Children's Hospital, and the Department of Surgery, Harvard Medical School, Boston, MA

Accepted for publication June 27, 1986.

* Address reprint requests to Dr. Castaneda, Department of Cardiovascular Surgery, The Children's Hospital, 300 Longwood Ave, Boston, MA 02115

Three patients who underwent a modified Fontan-Kreutzer (F-K) operation required additional procedures to correct left atrioventricular valve regurgitation. Valve replacement was performed in two additional procedures, and initial annuloplasty with a Carpentier ring was carried out in the third. All 3 survived the combined procedures and are doing well after a follow-up period ranging from five months to three years. More frequent presentation of these types of patients can be expected with broadening indications for F-K procedure to more complex lesions.




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