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Ann Thorac Surg 1996;61:997-1000
© 1996 The Society of Thoracic Surgeons


Case Report

Aortopulmonary Fenestration With Pulmonary Artery Septation for Single Ventricle and Subaortic Obstruction

Ara K. Pridjian, MD, John L. Ochsner, MD

Division of Cardiovascular Surgery, Ochsner Clinic, New Orleans, Louisiana

Accepted for publication August 21, 1995.

A neonate with functional single ventricle and severe subaortic obstruction received a palliative procedure that involved a side-to-side anastomosis of the aorta and pulmonary artery, placement of a patch in the main pulmonary artery to divide the systemic and pulmonary circulations, and creation of a small opening in the patch to provide pulmonary blood flow. The patient recently underwent a bidirectional Glenn procedure at 10 months of age. This procedure obviates the need for a modified Blalock-Taussig shunt and may provide a more reliable source of blood to promote growth of both pulmonary arteries.







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