The potentially obstructive subaortic region and banding of the pulmonary trunk—selected observations in the patient considered for a Fontan procedure

Robert M. Freedom, Teiji Akagi, Leland N. Benson

Research output: Contribution to journalEditorial

8 Citations (Scopus)

Abstract

There is a clear and present danger for the patient considered for Fontan's operation in the presence of excessive ventricular hypertrophy and/or mass. Such ventricular hypertrophy and/or mass probably reflects singly, or in combination, banding of the pulmonary trunk and subaortic stenosis, as well as other factors. While one can construct a number of therapeutic algorithms for patients seen at various ages with a restrictive ventricular septal defect and subaortic stenosis in the setting of double inlet left ventricle and discordant ventriculoarterial connections, the optimal management should be to minimize the potential risks for development of subaortic stenosis and excessive ventricular hypertrophy and/or mass.

Original languageEnglish
Pages (from-to)91-97
Number of pages7
JournalCardiology in the Young
Volume3
Issue number2
DOIs
Publication statusPublished - 1993
Externally publishedYes

Keywords

  • banding of the pulmonary trunk
  • double inlet left ventricle
  • tricuspid atresia
  • Univentricular atrioventricular connections

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

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