Matching procedure to morphology improves outcomes in neonates with tricuspid atresia

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Matching procedure to morphology improves outcomes in neonates with tricuspid atresia.

OBJECTIVE This study was undertaken to characterize morphologic substrate of tricuspid atresia with ventriculoarterial concordance and discriminate management strategies that lead to successful definitive repair. METHODS From 1999 to 2004, a total of 150 babies with type I tricuspid atresia were enrolled from first diagnosis at 26 institutions. Antegrade pulmonary blood flow was absent in 19%...

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Fontan procedure for tricuspid atresia.

A Fontan procedure has been performed on 29 patients for tricuspid valvular atresia. The age range was 8 months to 33 years (median 10 years), the pulmonary vascular resistance ranged from 1.8-6.1 units . m2 (mean 3.3 units . m2), and the mean pulmonary arterial pressure ranged from 13-45 mm Hg (mean 21 mm Hg). Twenty-nine previous operations had been performed in 23 patients. Fourteen other as...

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Tricuspid Atresia

Left ventricular dimensions and contractility were determined by echocardiography in 33 patients with tricuspid atresia in 1985 and again in 1988. Eight patients remained palliated throughout the 3-year period; neither the left ventricular end-diastolic diameter (153±15% of normal vs. 157+19%o, p=NS) nor a load-independent index of contractility (rate-corrected velocity of shortening [VCFc]/end...

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Tricuspid atresia with I-transposition.

Sir, In their recent article (1987;57:543-7) on tricuspid atresia with transposition of the great arteries Warnes and Somerville emphasised the inportance of subaortic stenosis in these patients, especially those with coarctation. They suggested that the Fontan procedure was the procedure of choice in these patients but remarked that in patients with subaortic stenosis the prognosis after Fonta...

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Tricuspid atresia: analysis of coronary artery distribution and ventricular morphology.

There is still disagreement concerning the precise nature of the anterior ventricular chamber in "tricuspid atresia". Some argue that it is a right ventricle, while our own previous studies have suggested it is comparable to the outlet chamber seen in classical "single ventricle". We have compared the morphology of the anterior ventricular chambers in 48 examples of tricuspid atresia (absent ri...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2005

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2005.07.024