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Masaaki Yamagishi
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Ann Thorac Surg 2005;79:1044-1047
© 2005 The Society of Thoracic Surgeons

Case report

One-Stage Unifocalization and Palliative Right Ventricular Outflow Tract Reconstruction

Takeshi Shinkawa, MDa, Masaaki Yamagishi, MD*,a, Keisuke Shuntoh, MDa, Akiyuki Takahashi, MDa, Kyoko Hayashida, MDa, Nobuo Kitamura, MDa

a Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

Accepted for publication September 22, 2003.

* Address reprint requests to Dr Yamagishi, Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi, Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
myama{at}koto.kpu-m.ac.jp

We report a successful case of one-stage unifocalization concomitant with palliative right ventricular outflow tract reconstruction for pulmonary atresia and ventricular septal defect with major aortopulmonary collateral arteries and central pulmonary arterial absence. Through a median sternotomy, one-stage unifocalization was accomplished using autologous pericardial conduit and no prosthetic material. To achieve an adequate pulmonary blood flow, the right ventricular outflow tract was reconstructed so that it would be 70% of the normal pulmonary annular diameter, while the ventricular septal defect was left open. One-stage unifocalization concomitant with palliative right ventricular outflow tract reconstruction is considered to be a good surgical option for selected patients with these diseases.




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T. Shinkawa, M. Yamagishi, K. Shuntoh, K. Koushi, M. Ogawa, and H. Yaku
Pulmonary Artery Augmentation Using Autologous Vena Cava in Right Heart Bypass Operations
Ann. Thorac. Surg., March 1, 2006; 81(3): 1143 - 1145.
[Abstract] [Full Text] [PDF]


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