Palliative Surgery in Tricuspid Atresia
نویسندگان
چکیده
Each of these cases satisfies all or most of the following criteria for tricuspid atresia with diminished pulmonary blood flow: 1. Central cyanosis. 2. Electrocardiogram: (a) normal axis or left axis deviation, (b) preponderance of left ventricular activity over right ventricular activity. The three cases of dextrocardia had right axis deviation and preponderance of lateral ventricular activity over anterior ventricular activity. 3. X-ray: (a) diminished pulmonary vascularity, (b) heart size normal, except in six cases with heart failure, when the heart was enlarged. 4. Angiocardiogram: (a) opacification sequence: RA >LA >LV >Aorta 1, I RV->PA, (b) RA-LV notch,
منابع مشابه
Energetic performance analysis of staged palliative surgery in tricuspid atresia using vector flow mapping
BACKGROUND Staged palliative surgery markedly shifts the balance of volume load on a single ventricle and pulmonary vascular bed. Blalock-Taussig shunt necessitates a single ventricle eject blood to both the systemic and pulmonary circulation. On the contrary, bidirectional cavopulmonary shunt release the single ventricle from pulmonary circulation. CASE PRESENTATION We report a case of tricu...
متن کاملTricuspid Atresia Presenting in Infancy
Background. The Fontan operation is the usual goal of therapy for children with tricuspid atresia. The influences of morphology and different management strategies on survival and subsequent suitability for this procedure are crucial but unstudied in an unselected population during the Fontan era. Methods and Results. The fates of 237 consecutive infants with tricuspid atresia were reviewed (19...
متن کاملTruncus arteriosus, tricuspid atresia and partial anomalous pulmonary venous drainage: a unique form of univentricular heart.
We present the first reported case of truncus arteriosus, tricuspid atresia and partial anomalous pulmonary venous drainage into a retro-aortic innominate vein in a neonate in whom successful palliation was performed using a two-staged procedure. An early repair after presentation along with a re-routing of anomalous pulmonary venous drainage at the time of the second stage should be undertaken...
متن کاملTricuspid atresia presenting in infancy. Survival and suitability for the Fontan operation.
BACKGROUND The Fontan operation is the usual goal of therapy for children with tricuspid atresia. The influences of morphology and different management strategies on survival and subsequent suitability for this procedure are crucial but unstudied in an unselected population during the Fontan era. METHODS AND RESULTS The fates of 237 consecutive infants with tricuspid atresia were reviewed (19...
متن کاملSurgical 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...
متن کامل