Aortopulmonary fenestration with pulmonary artery septation for single ventricle and subaortic obstruction.
A neonate with functional single ventricle and severe subaortic obstruction received a palliative procedure that involved a side-to-side anastomosis of the aorta and pulmonary artery, placement of a patch in the main pulmonary artery to divide the systemic and pulmonary circulations, and creation of a small opening in the patch to provide pulmonary blood flow. The patient recently underwent a bidirectional Glenn procedure at 10 months of age. This procedure obviates the need for a modified Blalock-Taussig shunt and may provide a more reliable source of blood to promote growth of both pulmonary arteries.
Pridjian
A K
AK
Division of Cardiovascular Surgery, Ochsner Clinic, New Orleans, Louisiana 70121, USA.
Ochsner
J L
JL
D000714:Anastomosis, Surgical; D001011:Aorta / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D018610:Heart Bypass, Right; D006330:Heart Defects, Congenital / Q000601:surgery*; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D007231:Infant, Newborn; D011651:Pulmonary Artery / Q000601:surgery*