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Ann Thorac Surg 2004;78:1998
© 2004 The Society of Thoracic Surgeons

Original Article: Cardiovascular

INVITED COMMENTARY

Marjan Jahangiri, FRCS

Department of Cardiac Surgery, St. George's Hospital and Medical School, Blackshaw Rd, London SW17 0QT, UK

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

The outcome of pulmonary atresia with an intact ventricular septum (PAIVS) remains inferior compared with other complex congenital heart defects such as transposition of the great arteries. This may reflect partly on the morphologic heterogeneity of this condition and partly on the interpretation of this morphology by different institutions.

The morphologic heterogeneity in PAIVS encompasses a spectrum of lesions, including hypoplasia of the right ventricle (RV) and tricuspid valve, abnormal coronary circulation, and pulmonary atresia itself. Ideally, surgery should optimize the growth of the RV and the tricuspid valve without compromising the coronary circulation and ventricular function. In addition, several physiologically based management protocols and algorithms are not supported by surgical outcome.

A particular challenge in planning a strategy for the . . . [Full Text of this Article]


Related Article

Interim Mortality in Pulmonary Atresia With Intact Ventricular Septum
Kathleen N. Fenton, Frank A. Pigula, Sanjiv K. Gandhi, Linda Russo, and Kim F. Duncan
Ann. Thorac. Surg. 2004 78: 1994-1998. [Abstract] [Full Text] [PDF]





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