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 Author home page(s): Suvro S. Sett Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Webber, S. A. Articles by LeBlanc, J. G. Search for Related Content PubMed PubMed Citation Articles by Webber, S. A. Articles by LeBlanc, J. G.

Ann Thorac Surg 1992;54:344-347
© 1992 The Society of Thoracic Surgeons

---

Articles

Univentricular atrioventricular connection with subaortic stenosis: A staged surgical approach

Division of Cardiology, Department of Pediatrics, and Department of Cardiovascular and Thoracic Surgery, British Columbia Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada

Accepted for publication January 24, 1992.

^_* Address reprint requests to Dr LeBlanc, British Columbia Children's Hospital, Room 1L7, 4480 Oak St, Vancouver, BC, Canada V6H 3V4.

A staged surgical approach was developed for the management of hearts with univentricular atrioventricular connection (double-inlet left ventricle or tricuspid atresia) and discordant ventriculoarterial connection with anatomical substrate for the development of subaortic stenosis. This consisted of initial palliation with pulmonary artery banding, followed by early elective relief of subaortic obstruction using a proximal pulmonary artery to ascending aorta anastomosis in infancy. Pulmonary blood flow was maintained at this time by creating a bidirectional superior cavopulmonary anastomosis. Over an 18-month period, 5 children, including 4 seen in the first week of life with aortic arch obstruction, were palliated with this approach. All patients survived operation and are asymptomatic with transcutaneous oxygen saturations of 80% to 85%. Completion of cavopulmonary repair is planned at 2 years of age. Although some authors have considered pulmonary artery banding contraindicated in these infants, the current staged approach offers an attractive alternative to the construction of a pulmonary artery to aorta anastomosis in the neonatal period.

This article has been cited by other articles:

				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]

				A. J. J. C. Bogers, W.-J. van Boven, and A. H. Cromme-Dijkhuis Allograft Root on Closed Pulmonary Valve for Subaortic Obstruction in Double-Inlet Left Ventricle With Transposition of the Great Arteries Ann. Thorac. Surg., February 1, 1997; 63(2): 425 - 428. [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 - 977. [Abstract] [PDF]

				R. M. Di Donato, D. di Carlo, and C. Marcelletti Staged fontan repair of complex cardiac anomalies with subaortic obstruction Ann. Thorac. Surg., May 1, 1993; 55(5): 1280 - 1280. [PDF]