Successful reoperation of the valveless calcified right atrium to right ventricle conduit in an adult patient with tricuspid atresia after Fontan procedure.
نویسندگان
چکیده
A 31-year old woman with tricuspid atresia, after Bjork Fontan modification and reoperation due to homograft narrowing, was evaluated because of progressive exercise intolerance; she was planning a pregnancy. The right atrium (RA) to right ventricle (RV) homograft narrowing and calcification with significant reversal flow were found. Successful reoperation was performed-calcified conduit was excised and extracardiac pulmonary homograft tipped with vascular prosthesis was implanted between the RA and the RV.
منابع مشابه
Pii: S1010-7940(99)00336-x
Objective: Between 1977 and 1988, 27 patients, mean age 8.9 (range 4±22) received an antibiotic sterilised aortic allograft in the setting of the Fontan procedure. This study describes the long-term follow-up of these patients. Methods: Fifteen patients had tricuspid atresia, nine double inlet ventricles and three others. The connection with the allograft was made to the pulmonary artery on the...
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Correspondence to: Dr Michael A Gatzoulis, Adult Congenital Heart Programme, Department of Cardiology, Royal Brompton Hospital, Sydney Street, London SW3 6NP, UK; m.gatzoulis@ rbh.nthames.nhs.uk . . . . . . . . . . . . . . . . . . . . . . . T he Fontan procedure was first successfully performed in 1971 in a patient with tricuspid atresia, and has become the preferred approach for surgical palli...
متن کاملReflections on Five Decades of the Fontan Kreutzer Procedure
The first successful total right heart bypass via atriopulmonary anastomosis (APA) were reported in 1971 for patients with tricuspid atresia. At the Children's Hospital of Buenos Aires, the cohort of such procedures started in July, when the first fenestrated right heart by pass was performed, with the interposition of a homograft between the right atrial appendage and the main pulmonary artery...
متن کاملModified Fontan conversion: an alternative technique for grown-up patients
Method A 28-year-old woman (tricuspid atresia/Blalock-Taussing shunt) underwent atriopulmonary Fontan procedure at the age of 3. At 25-year follow-up, she developed a progressive worsening in functional class and palpitations, despite antiarrhythmic treatment. Imaging studies showed no stenosis in the atriopulmonary connection. She underwent Fontan conversion. The right atrium (RA) was extremel...
متن کاملInitial syncope associated with alternating attacks of supraventricular tachycardia and atrioventricular block long after surgical correction of tricuspid atresia.
The Fontan procedure has become a generic term to define a surgical procedure that orients the systemic venous return directly to the pulmonary arteries, and has been used as a palliative operation for pulmonary atresia, tricuspid atresia, double inlet ventricle and complex single ventricle. The earliest type of Fontan procedure was a simple atriopulmonary anastomosis between the right atrium a...
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ورودعنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 41 3 شماره
صفحات -
تاریخ انتشار 2012