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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 (a1), Glenn Pelletier (a1), Peter D. Wearden (a2) and Victor O. Morell (a2)

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.

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Corresponding author

Correspsondence to: Marshall L. Jacobs MD, Section of Cardiothoracic Surgery, St. Christopher's Hospital for Children, Erie Avenue at Front Street, Philadelphia, PA 19134, United States of America. Tel: +215 427 5109; Fax: +215 427 3860; E-mail: Marshall.Jacobs@tenethealth.com

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References

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Keywords

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 (a1), Glenn Pelletier (a1), Peter D. Wearden (a2) and Victor O. Morell (a2)

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