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Ann Thorac Surg 1998;66:641-643
© 1998 The Society of Thoracic Surgeons

Supplement

Biventricular hearts not amenable to biventricular repair

Robert M. Freedom, MDa, Glen S. Van Arsdell, MDb

a Divisions of Cardiology, Department of Pediatrics, the Hospital for Sick Children, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada
b Division of Cardiovascular Surgery, Department of Surgery, The Hospital for Sick Children, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada

Address reprint requests to Dr Freedom, The Hospital for Sick Children, Rm 1503C, 555 University Ave, Toronto, ON, Canada M5G 1X8

Presented at the Workshop on "One and One-Half Ventricle Repairs," Gubbio, Italy, Dec 6–7, 1996.

Abstract

Many hearts, although considered morphologically biventricular, may not be candidates for a biventricular repair. Such patients are best placed on a Fontan algorithm. This article reviews in broad principles those hearts that, despite being biventricular, do not lend themselves to a two-ventricle repair.




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