Conduit from hypoplastic right ventricle to pulmonary artery in tricuspid atresia.
Tricuspid atresia with transposition of the great arteries produces single ventricle physiology. Ultimate goals of neonatal palliative operations are to provide optimum anatomic and physiologic conditions for a Fontan procedure. A modification of the Norwood procedure is reported, with an aorto-pulmonary anastomosis, utilizing the hypoplastic right ventricle as the pulmonary outflow conduit, avoiding a left ventriculotomy and preserving its function with excellent recovery. We believe this technique has not been previously published in the English literature.
Amanullah
Muhammad M
MM
Division of Congenital Cardiac Surgery, Department of Cardiothoracic Surgery, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, United Kingdom. mmamanullah@doctors.org.uk
Hasan
Asif
A
Kirk
Richard
R
D000714:Anastomosis, Surgical; D001011:Aorta / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D050792:Circulatory Arrest, Deep Hypothermia Induced; D005260:Female; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D007231:Infant, Newborn; D010166:Palliative Care; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000150:complications / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D018785:Tricuspid Atresia / Q000150:complications / Q000473:pathology / Q000601:surgery*