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

This Article 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 Lamberti, J. J. Articles by Kirkpatrick, S. E. Search for Related Content PubMed PubMed Citation Articles by Lamberti, J. J. Articles by Kirkpatrick, S. E.

The Annals of Thoracic Surgery, Vol 52, 676-679, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

The Damus-Fontan procedure

JJ Lamberti, RD Mainwaring, JD Waldman, L George, JW Mathewson, RL Spicer and SE Kirkpatrick
Division of Cardiac Surgery, Children's Hospital, San Diego, California.

The Damus-Kaye-Stansel operation is a useful technique for the treatment of complex cyanotic congenital heart disease when there is obstruction between the systemic ventricle and the aorta. Modifications of the technique include transection of the aorta and the pulmonary artery, anastomosis of the contiguous aortic and pulmonary walls, and connection of the distal aorta to the perimeter of the new bivalved proximal great artery. In addition, the bidirectional cavopulmonary shunt technique can be used with or without the Fontan procedure. Six patients underwent a Damus-Fontan operation, and all survived. Two patients underwent the Damus-cavopulmonary shunt (hemi-Fontan) procedure, and 1 survived. The postoperative status of the 7 survivors is good to excellent. Follow-up ranges from 2 months to 7 1/2 years.

This article has been cited by other articles:

				A. C. Fiore, M. Rodefeld, P. ViJay, M. Turrentine, C. Seithel, M. Ruzmetov, and J. W. Brown Subaortic obstruction in univentricular heart: results using the double barrel Damus-Kaye Stansel operation Eur. J. Cardiothorac. Surg., January 1, 2009; 35(1): 141 - 146. [Abstract] [Full Text] [PDF]

				M. D. Rodefeld, M. Ruzmetov, M. S. Schamberger, D. A. Girod, M. W. Turrentine, and J. W. Brown Staged surgical repair of functional single ventricle in infants with unobstructed pulmonary blood flow Eur. J. Cardiothorac. Surg., June 1, 2005; 27(6): 949 - 955. [Abstract] [Full Text] [PDF]

				T. Miura, H. Kishimoto, H. Kawata, M. Hata, T. Hoashi, and T. Nakajima Management of univentricular heart with systemic ventricular outflow obstruction by pulmonary artery banding and Damus-Kaye-Stansel operation Ann. Thorac. Surg., January 1, 2004; 77(1): 23 - 28. [Abstract] [Full Text] [PDF]

				T. Hiramatsu, Y. Imai, H. Kurosawa, Y. Takanashi, M. Aoki, T. Shin'oka, and T. Sakamoto Midterm results of surgical treatment of systemic ventricular outflow obstruction in Fontan patients Ann. Thorac. Surg., March 1, 2002; 73(3): 855 - 860. [Abstract] [Full Text] [PDF]

				R. S. Mosca, H. A. Hennein, T. J. Kulik, D. C. Crowley, E. C. Michelfelder, A. Ludomirsky, and E. L. Bove Modified Norwood Operation for Single Left Ventricle and Ventriculoarterial Discordance: An Improved Surgical Technique Ann. Thorac. Surg., October 1, 1997; 64(4): 1126 - 1132. [Abstract] [Full Text]

				A. Serraf, S. Conte, F. Lacour-Gayet, J. Bruniaux, M. Sousa-Uva, R. Roussin, and C. Planche Systemic Obstruction in Univentricular Hearts: Surgical Options for Neonates Ann. Thorac. Surg., October 1, 1995; 60(4): 970 - 976. [Abstract] [Full Text]

				H. Uemura, T. Yagihara, Y. Kawashima, F. Yamamoto, K. Nishigaki, O. Matsuki, K. Okada, T. Kamiya, and R. H. Anderson WHAT FACTORS AFFECT VENTRICULAR PERFORMANCE AFTER A FONTAN-TYPE OPERATION? J. Thorac. Cardiovasc. Surg., August 1, 1995; 110(2): 405 - 415. [Abstract] [Full Text]

				C. J. Knott-Craig, G. K. Danielson, H. V. Schaff, F. J. Puga, A. L. Weaver, and D. D. Driscoll The modified fontan operationAn analysis of risk factors for early postoperative death or takedown in 702 consecutive patients from one institution J. Thorac. Cardiovasc. Surg., June 1, 1995; 109(6): 1237 - 1243. [Abstract] [Full Text]