title: Modified Starnes procedure in a neonate with severe tricuspid regurgitation.
abstract: We report a modification of the Starnes technique for palliating severe tricuspid regurgitation associated with a dysplastic right ventricle in a neonate, using a fenestrated pericardial patch allowing for unidirectional flow. The patient eventually underwent a successful Glenn shunt construction with a persistent reduction in right ventricle size at 1 year follow-up.
authors.affiliation: Section of Pediatric Cardiovascular Surgery, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
authors.forename: Ashok
authors.initials: A
authors.lastname: Muralidaran
authors.forename: Richard W
authors.initials: RW
authors.lastname: Kim
authors.forename: Gary S
authors.initials: GS
authors.lastname: Kopf
authors.forename: Nicholas P
authors.initials: NP
authors.lastname: Pietris
authors.forename: Bevin P
authors.initials: BP
authors.lastname: Weeks
authors.forename: Vaughn A
authors.initials: VA
authors.lastname: Starnes
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Shinoka
mesh_terms: D001705:Bioprosthesis; D006348:Cardiac Surgical Procedures / Q000379:methods*; D019299:Decompression, Surgical / Q000379:methods; D004374:Ductus Arteriosus, Patent; D005260:Female; D018729:Fontan Procedure; D006344:Heart Septal Defects, Atrial / Q000601:surgery; D006350:Heart Valve Prosthesis; D006352:Heart Ventricles / Q000002:abnormalities; D006801:Humans; D007231:Infant, Newborn; D010496:Pericardium; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000601:surgery; D018633:Pulmonary Atresia / Q000601:surgery; D014261:Tricuspid Valve / Q000002:abnormalities / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000151:congenital / Q000601:surgery*