Late conduit occlusion after modified Fontan procedure with classic Glenn shunt.
A number of patients with complex congenital heart disease who were initially palliated with a classic Glenn shunt subsequently underwent modified Fontan procedures. This report discusses the operative management of complete occlusion of right atrial-to-right ventricular conduits in patients with patent classic Glenn shunts. The literature is reviewed regarding similar patients, and alternative treatment strategies are discussed.
Koutlas
T C
TC
Department of Cardiology, Duke University Medical Center, Durham, North Carolina, USA.
Harrison
J K
JK
Bashore
T M
TM
O'Laughlin
M P
MP
Tripp
M E
ME
Gaynor
J W
JW
D000328:Adult; D001166:Arteriovenous Shunt, Surgical; D005260:Female; D018729:Fontan Procedure; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D011651:Pulmonary Artery / Q000601:surgery*; D012086:Reoperation; D013997:Time Factors; D014683:Vena Cava, Superior / Q000601:surgery*
D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene