Staged Fontan's operation for unguarded tricuspid orifice with pulmonary atresia

Masanori Hirota; Masaaki Kawada; Kozo Ishino; Shunji Sano

doi:10.1016/j.ejcts.2008.07.054

Staged Fontan's operation for unguarded tricuspid orifice with pulmonary atresia

Masanori Hirota, Masaaki Kawada, Kozo Ishino, Shunji Sano

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

We report a rare case of unguarded tricuspid orifice with pulmonary atresia, which is devoid of any guarding valvular tissue at tricuspid annulus. A left Blalock-Taussig shunt was constructed on the 17th day of life. At 4 years of age, a bidirectional Glenn's operation was performed for the further growth of the pulmonary bed and the volume reduction of the left ventricle. Finally, an extracardiac cavo-pulmonary connection was created using a ringed Gore-Tex graft at 6 years of age. Staged Fontan's strategy may contribute to a good surgical outcome for this highly lethal anomaly.

Original language	English
Pages (from-to)	1111-1112
Number of pages	2
Journal	European Journal of Cardio-Thoracic Surgery
Volume	34
Issue number	5
DOIs	https://doi.org/10.1016/j.ejcts.2008.07.054
Publication status	Published - Nov 2008

Keywords

CHD
Cyanotic
Fontan
Tricuspid valve

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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AU - Hirota, Masanori

AU - Kawada, Masaaki

AU - Ishino, Kozo

AU - Sano, Shunji

PY - 2008/11

Y1 - 2008/11

N2 - We report a rare case of unguarded tricuspid orifice with pulmonary atresia, which is devoid of any guarding valvular tissue at tricuspid annulus. A left Blalock-Taussig shunt was constructed on the 17th day of life. At 4 years of age, a bidirectional Glenn's operation was performed for the further growth of the pulmonary bed and the volume reduction of the left ventricle. Finally, an extracardiac cavo-pulmonary connection was created using a ringed Gore-Tex graft at 6 years of age. Staged Fontan's strategy may contribute to a good surgical outcome for this highly lethal anomaly.

AB - We report a rare case of unguarded tricuspid orifice with pulmonary atresia, which is devoid of any guarding valvular tissue at tricuspid annulus. A left Blalock-Taussig shunt was constructed on the 17th day of life. At 4 years of age, a bidirectional Glenn's operation was performed for the further growth of the pulmonary bed and the volume reduction of the left ventricle. Finally, an extracardiac cavo-pulmonary connection was created using a ringed Gore-Tex graft at 6 years of age. Staged Fontan's strategy may contribute to a good surgical outcome for this highly lethal anomaly.

KW - CHD

KW - Cyanotic

KW - Fontan

KW - Tricuspid valve

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Staged Fontan's operation for unguarded tricuspid orifice with pulmonary atresia

Abstract

Keywords

ASJC Scopus subject areas

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