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Ann Thorac Surg 1996;62:258-261
© 1996 The Society of Thoracic Surgeons

Case Report

Late Conduit Occlusion After Modified Fontan Procedure With Classic Glenn Shunt

Theodore C. Koutlas, MD, J. Kevin Harrison, MD, Thomas M. Bashore, MD, Martin P. O'Laughlin, MD, Marjorie E. Tripp, MD, J. William Gaynor, MD

Departments of Cardiology, Pediatric Cardiology, and Surgery, Duke University Medical Center, Durham, North Carolina

Accepted for publication January 22, 1996.

A number of patients with complex congenital heart disease who were initially palliated with a classic Glenn shunt subsequently underwent modified Fontan procedures. This report discusses the operative management of complete occlusion of right atrial-to-right ventricular conduits in patients with patent classic Glenn shunts. The literature is reviewed regarding similar patients, and alternative treatment strategies are discussed.


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Invited Commentary
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Ann. Thorac. Surg. 1996 62: 261-262. [Extract] [Full Text]



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