[Tricuspid atresia and univentricular heart].
Recent modification of the Fontan operation was followed by remarkable improvement of surgical results in patients with tricuspid atresia and univentricular heart. Application of TCPC-type procedures contributed to this progress and new developments will yield better long-term postoperative results. Surgical strategies with the Fontan operation should include various preparatory procedures, such as systemic-pulmonary shunt, pulmonary arterial banding, plasty or reconstruction of pulmonary arteries, bidirectional Glenn anastomosis, creation of additional aortopulmonary anastomosis, and coil embolization of aortopulmonary collateral arteries.
Yagihara
T
T
Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Japan.
D018729:Fontan Procedure; D006352:Heart Ventricles / Q000002:abnormalities*; D006801:Humans; D008722:Methods; D018785:Tricuspid Atresia / Q000601:surgery*