title: [Adjustable interatrial communication in management of severe congenital heart disease].
abstract: OBJECTIVE
  To assess the use of adjustable interatrial communication in patient with severe congenital heart disease undergoing open heart surgery.
  
  
  METHODS
  From February 1998 to June 1999, 13 patients with severe and complex congenital heart disease underwent open heart surgery. Seven patients underwent total cavopulmonary connection, five patients repair of Ebstein's anomaly, and one patient right atrial-pulmonary connection. Adjustable interatrial communication was made in all patients. Four patients had the communication closed at the time of operation, 4 patients had the communication opened at the time of operation, and 5 patients had the communication adjusted and closed postoperatively.
  
  
  RESULTS
  All patients had a smooth postoperative process. There were no postoperative death and no severe postoperative complications.
  
  
  CONCLUSIONS
  Adjustable interatrial communication for the patients undergoing modified Fontan procedure or correction of Ebstein's anomaly may be advantageous.
authors.affiliation: Department of Surgery, Guangdong Cardiovascular Institute, Guangzhou 510100, China.
authors.forename: J
authors.initials: J
authors.lastname: Zhuang
authors.forename: J
authors.initials: J
authors.lastname: Zhang
authors.forename: X
authors.initials: X
authors.lastname: Chen
authors.forename: J
authors.initials: J
authors.lastname: Chen
authors.forename: J
authors.initials: J
authors.lastname: Cen
authors.forename: W
authors.initials: W
authors.lastname: Zhu
authors.forename: X
authors.initials: X
authors.lastname: Song
mesh_terms: D000293:Adolescent; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005112:Extracorporeal Circulation; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male