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[Tricuspid atresia and univentricular heart]
1Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Japan.
Nihon Geka Gakkai Zasshi
|August 30, 2001
Abstract:
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.