Conduit from hypoplastic right ventricle to pulmonary artery in tricuspid atresia
Muhammad M Amanullah1, Asif Hasan, Richard Kirk
1Division of Congenital Cardiac Surgery, Department of Cardiothoracic Surgery, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, United Kingdom. mmamanullah@doctors.org.uk
Abstract:
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.
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