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Staged surgical management of pulmonary atresia with intact ventricular septum
Published online by Cambridge University Press: 19 August 2008
Abstract
Review of an institutional experience of 81 patients admitted to the Royal Liverpool Children's Hospital between January 1958 and December 1990 with a diagnosis of pulmonary atresia and intact ventricular septum revealed that successful definitive repair was achieved in about one-third of those who underwent surgical treatment. A three-stage protocol, consisting of a systemic-pulmonary anastomosis followed by right ventricular decompression on cardiopulmonary bypass and subsequent separation of the systemic and pulmonary circulations, facilitated a biventricular correction but rarely led to a successful Fontan procedure. Both functional class and probability of survival improved after each stage of management.
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- World Forum for Pediatric Cardiology Symposium on Pulmonary Atresia
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- Copyright © Cambridge University Press 1992
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