J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3806KB） [Members Only And Two Factor Auth.][Back to Search Results]

J.Jpn. Surg. Soc.. 102(8): 602-607, 2001

Feature topic

TRICUSPID ATRESIA AND UNIVEMTRICULAR HEART

Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Japan

Toshikatsu Yagihara

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.

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