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Ann Thorac Surg 1995;60:1274
© 1995 The Society of Thoracic Surgeons

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Invited Commentary

Invited Commentary

Division of Pediatric Cardiology, Vanderbilt University School of Medicine, Room D-2220 MCN, Nashville, TN 37232-2572

The first 20% of the full text of this article appears below.

See also page 1267.

There have been a number of previous observations that acute volume reduction occurs after both the Fontan operation and the hemi-Fontan operation for patients with functional single-ventricle anatomy. Rychik and associates have demonstrated that volume decrease and wall thickness increase are considerably greater early after the Fontan operation than after the hemi-Fontan operation. In addition, patients with ventricular septal defect and large left-to-right shunt have geometric changes of an intermediate degree between Fontan and hemi-Fontan patients. As Rychik and associates point out, there are a number of factors potentially influencing the varying degrees of early left . . . [Full Text of this Article]

Related Article

Acute Changes in Left Ventricular Geometry After Volume Reduction Operation

Jack Rychik, Marshall L. Jacobs, and William I. Norwood, Jr
Ann. Thorac. Surg. 1995 60: 1267-1273. [Abstract] [Full Text]