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Ann Thorac Surg 2004;78:1971
© 2004 The Society of Thoracic Surgeons

Original Article: Cardiovascular

INVITED COMMENTARY

Ralph S. Mosca, MD

Department of Surgery, Columbia Presbyterian Medical Center, 3959 Broadway, CHN #274, New York, NY 10032, USA

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

Ventricular function and cardiac work are crucial determinants in the outcome of patients with palliated single ventricle anatomy. Optimizing ventricular mass/volume ratio and controlling the ventricular afterload are critical to promote ventricular efficiency. Selecting the appropriate aortopulmonary shunt size, an interval bidirectional Glenn (BDG), and removal of branch pulmonary artery stenosis are all thought to positively contribute to improved ventricular performance, yet, their effects remain largely unproven.

The concept of a right ventricular to pulmonary artery (RV-PA) connection as a source . . . [Full Text of this Article]




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