Tricuspid atresia: Experience in surgical management with a modified cavopulmonary anastomosis

Tricuspid atresia: experience in surgical management with a modified cavopulmonary anastomosis.

Surgical management of tricuspid atresia.

Tricuspid atresia is one of the less common forms of congenital heart disease. The results of palliative surgery in 72 children are presented. Cardiac catheterization and angiocardiography are essential for precise definition of the anomaly. There is a 20% incidence of obstruction at atrial septal level. Closed atrial septostomy is of value in such cases in infancy. In most there is a reduced p...

Surgical palliation of tricuspid atresia.

In the 20-year period ending December 31, 1973 we operated on 105 patients for palliation of tricuspid atresia (TA) with reduced pulmonary blood flow. Pott's anastomosis (85), Blalock-Taussig anastomosis (19), intrapericardial aorta (Ao)-to-right pulmonary artery (RPA) (18), Glenn procedure (3) and miscellaneous shunts (2) have been used. Of patients undergoing operation more than 15 years ago,...

Surgical repair of tricuspid atresia.

Surgical repair of tricuspid atresia has been carried out in three patients; two of these operations have been successful. A new surgical procedure has been used which transmits the whole vena caval blood to the lungs, while only oxygenated blood returns to the left heart. The right atrium is, in this way, 'ventriclized', to direct the inferior vena caval blood to the left lung, the right pulmo...

Bidirectional cavopulmonary anastomosis.

SLAVIK AND HIS COLLEAGUES 1 OFFER A THOUGHTful discussion of the subject of the bidirectional cavopulmonary anastomosis, and offer a useful review of the primary papers. The authors make the important point that these patients are not a homogeneous cohort. The argument about where to measure the pulmonary arteries is a bit academic, and the strengths and weaknesses of various methods have been ...