The role of Fontan's procedure and aortic translocation in the surgical management of patients with discordant atrioventricular connections, interventricular communication, and pulmonary stenosis or atresia

Marshall L. Jacobs, Glenn Pelletier, Peter D. Wearden, Victor O. Morell

Research output: Contribution to journalArticlepeer-review

Abstract

A variety of surgical strategies have been utilized in attempts to accomplish long-term haemodynamic stability in patients with cardiac anomalies characterized by discordant atrioventricular connections, ventricular septal defect, and severe sub-pulmonary obstruction. The majority of these patients have what is commonly referred to as congenitally corrected transposition, together with a ventricular septal defect and pulmonary stenosis or atresia, in the setting of either usual or mirror imaged arrangement of the atrial chambers and the other organs of the body. A smaller sub-group, with discordant atrioventricular connections and double outlet right ventricle, with severe sub-pulmonary obstruction or pulmonary atresia, present similar physiology, and a comparable surgical challenge.

Original languageEnglish (US)
Pages (from-to)97-102
Number of pages6
JournalCardiology in the young
Volume16
Issue numberSUPPL. 3
DOIs
StatePublished - Sep 1 2006
Externally publishedYes

Keywords

  • Biventricular repair-Mustard/Senning/Rastelli
  • Congenitally corrected transposition
  • Ventricular septal defect

ASJC Scopus subject areas

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

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