Tricuspid atresia with aortopulmonary window: challenges in achieving a balanced circulation

eReply. Re: Balancing the pulmonary circulation in tricuspid atresia with an aortopulmonary window.

AV nodal ablation in tricuspid atresia; anatomical challenges

Patients with congenital heart disease often present unique challenges, especially in the electrophysiology laboratory. Here we present a case of a patient with medically refractory symptomatic atrial tachycardia, tricuspid atresia and a history of a modified Fontan procedure. The approach of an AV node ablation for palliation in our patient was met with challenges in identification of a His-bu...

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...

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...

Aortopulmonary fenestration and aortic atresia

Most reported cases of aortopulmonary fenestration are discrete openings between the main pulmonary artery and the aorta, distal to the outflow valves, and thus are amenable to surgical correction using cardiopulmonary bypass (Bosher and McCue, I962; Deverall et al., I969; Gross, I952; Gasul, Fell, and Casas, I951; Hurwitz, Ruttenberg, and Fonkalsrud, I967; Kalter et al., 1970; Meisner et al., ...