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Volume 8 - July 1998

Contents

Page 1 of 6

Other

Instructions to Authors

Other

From the Editor and Publisher

  • From the Editor and Publisher

  • Robert H. Anderson, G. William Henry, Geoffrey L. Nuttall
  • Published online by Cambridge University Press:
    19 August 2008, pp. 1-2
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  • From the Editor and Publisher

  • Published online by Cambridge University Press:
    19 August 2008, pp. 281-282
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  • From the Editor and Publisher

  • Robert H. Anderson, G. William Henry, Geoffrey L. Nuttall
  • Published online by Cambridge University Press:
    19 August 2008, p. 145
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  • From the Editor and Publisher

  • Robert H. Anderson, G. William Henry, Geoffrey L. Nuttall
  • Published online by Cambridge University Press:
    19 August 2008, pp. 417-418
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The Edgar Mannheimer Memorial Lecture

Editorial Note

  • What is a ventricle? Morphologic lessons from the Fontan circulation

  • Robert H. Anderson
  • Published online by Cambridge University Press:
    19 August 2008, pp. 146-149
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Editorial Comments

  • The Fontan type procedure in patients with visceral heterotaxy

  • Hideki Uemura
  • Published online by Cambridge University Press:
    19 August 2008, pp. 419-422
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Editorial Comment

  • Pulmonary arteriovenous fistulas in patients with left isomerism and cardiac malformations

  • A. Amodeo, Bruno Marino
  • Published online by Cambridge University Press:
    19 August 2008, pp. 283-284
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The Edgar Mannheimer Memorial Lecture

Continuing Medical Education

Editorial Comment

  • The role of devices in the closure of atrial septal defects in the oval fossa

  • Per G. Bjørnstad
  • Published online by Cambridge University Press:
    19 August 2008, pp. 285-286
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Editorial Comments

  • Ventricular septal defect: (not) another epidemic?

  • David F. Dickinson
  • Published online by Cambridge University Press:
    19 August 2008, pp. 423-424
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Original Articles

  • Morphology of hearts undergoing Fontan repair

  • Vivek Murari, Rajesh Sharma, Balram Airan, Anil Bhan, Shiv K. Choudhary, Anita Saxena, Shyam S. Kothari, Subhash C. B. Reddy, Panangipalli Venugopal
  • Published online by Cambridge University Press:
    19 August 2008, pp. 165-171
  • Background

    Notwithstanding the controversies evoked by the term “single ventricle”, most patients with this condition would undergo the Fontan procedure. In addition, there is a large group of patients in whom a biventricular repair would be abandoned in favour of a univentricular one because of the presence of unfavourable morphologic features. There is a need for a uniformly acceptable system of nomenclature that would permit precise description and classification of hearts with complex malformations to facilitate reporting and help in understanding the reasons for choosing a univentricular repair.

    Methods

    Echocardiographic, angiographic and operative records of 240 patients undergoing the Fontan procedure were analysed.

    Results

    Out of the 104 patients with univentricular atrioventricular connections, 2 ventricles were discernible in all but 3 patients. A Fontan repair was performed in 136 patients with biventricular atrioventricular connections because of the presence of a hypoplastic ventricle in 52 patients and a non-committed ventricular septal defect in the remaining 84.

    Conclusions

    The Fontan operation is probably the only definitive treatment option for patients with univentricular atrioventricular connections. The decision to perform a univentricular repair in preference to a biventricular one in hearts with biventricular atrioventricular connections is based on the presence of a hypoplastic ventricle or a non-reroutable ventricular septal defect. This decision is subjective. In hearts with discordant atrioventricular connections and pulmonary stenosis, we prefer the Fontan operation to the classical repair.

Editorial Comment

  • Commentary on social research about young people with congenital conditions

  • Priscilla Alderson
  • Published online by Cambridge University Press:
    19 August 2008, pp. 287-289
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Editorial Comments

  • On congenital heart disease in developing countries

  • Tjark Ebels
  • Published online by Cambridge University Press:
    19 August 2008, pp. 425-427
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Continuing Medical Education

Page 1 of 6