Right ventricle-to-aorta conduit in pulmonary atresia with intact ventricular septum and coronary sinusoids.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 8267445.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
A 20-month-old girl with pulmonary atresia, intact ventricular septum, and ventriculocoronary connections underwent successful interposition of a right ventricle-to-aorta conduit and Fontan operation. The patient initially had a modified Blalock-Taussig shunt at birth and subsequently a bidirectional Glenn shunt at 8 months of age. After Fontan and right ventricle-to-aorta conduit placement, the suprasystemic right ventricular pressure dropped to systemic levels without causing myocardial injury. Additionally, the right ventricular cavity enlarged. We believe that the use of a right ventricle-to-aorta conduit should provide a valuable alternative and improve the outlook of certain patients with pulmonary atresia, intact ventricular septum, and ventriculocoronary connections.
Medical subject headings
- Coronary Vessel Anomalies
- Heart Defects, Congenital
- Pulmonary Artery