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Ann Thorac Surg 2000;70:287-289
© 2000 The Society of Thoracic Surgeons

Case report

Strategy for pulmonary atresia and intact ventricular septum

Hideto Shimpo, MD, PhDa, Hidetoshi Hayakawa, MDa, Yoichiro Miyake, MDa, Shin Takabayashi, MDa, Isao Yada, MD, PhDa

a Departments of Thoracic and Cardiovascular Surgery and of Pediatrics, Mie University School of Medicine Mie, Japan

Address reprint requests to Dr Shimpo, Department of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2–174 Edobashi, Tsu, Mie, Japan 5148507
e-mail: shimpo{at}clin.medic.mie-u.ac.jp

Pulmonary atresia with an intact ventricular septum is characterized by varying degrees of right ventricular cavity hypoplasia. This factor is critical in determining the most appropriate surgical approach for each patient. We describe a patient who underwent definitive biventricular surgical repair in early infancy. We used an atrial septal defect patch with a one-way valve and performed a right ventricular overhaul after a balloon valvotomy.




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