Surgical treatment of pulmonary atresia with intact ventricular septum.
A concept of management of pulmonary atresia in infancy has been presented. The basic theme employed is that pulmonary valvotomy or an outflow patch should be applied to most infants so that a biventricular heart is achieved in as many children as possible. Clearly, a functioning right ventricle cannot result in all instances and systemic to pulmonary shunts have an important adjunctive and sometimes primary therapeutic role. Our ability to judge right ventricular capability has been improved by preoperative assessment of segmental cavitary hypoplasia by noninvasive echocardiography and angiographic techniques.
Dobell
A R
AR
Department of Cardiovascular Surgery, Montreal Children's Hospital, Quebec, Canada.
D004374:Ductus Arteriosus, Patent / Q000601:surgery; D006346:Heart Septum / Q000473:pathology; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D007223:Infant; D011300:Preoperative Care; D011651:Pulmonary Artery / Q000601:surgery; D011652:Pulmonary Circulation; D011664:Pulmonary Valve / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*; D016278:Ventricular Function, Right