Restrictive Interatrial Communication in Hypoplastic Left Heart Syndrome after Modified Fontan Repair

Hassan W. Nemeh; Sushma Reddy; Henry L. Walters; Mehdi Hakimi; Robert D. Ross

doi:10.1016/S0003-4975(03)01173-1

Restrictive Interatrial Communication in Hypoplastic Left Heart Syndrome after Modified Fontan Repair

Hassan W. Nemeh, Sushma Reddy, Henry L. Walters, Mehdi Hakimi, Robert D. Ross

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Abstract

The occurrence of pulmonary venous obstruction after total cavopulmonary connection with intraatrial lateral tunnel is a rare occurrence. We present two cases of hypoplastic left heart syndrome with restrictive interatrial communication presenting late after this type of modified Fontan repair. This occurred even after complete excision of the atrial septum at the time of Stage 1 Norwood in both cases. A novel approach to this problem of resecting the roof of the coronary sinus was utilized to enlarge the interatrial communication.

Original language	English
Pages (from-to)	2089-2091
Number of pages	3
Journal	The Annals of Thoracic Surgery
Volume	76
Issue number	6
DOIs	https://doi.org/10.1016/S0003-4975(03)01173-1
State	Published - Dec 2003

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abstract = "The occurrence of pulmonary venous obstruction after total cavopulmonary connection with intraatrial lateral tunnel is a rare occurrence. We present two cases of hypoplastic left heart syndrome with restrictive interatrial communication presenting late after this type of modified Fontan repair. This occurred even after complete excision of the atrial septum at the time of Stage 1 Norwood in both cases. A novel approach to this problem of resecting the roof of the coronary sinus was utilized to enlarge the interatrial communication.",

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AU - Nemeh, Hassan W.

AU - Reddy, Sushma

AU - Walters, Henry L.

AU - Hakimi, Mehdi

AU - Ross, Robert D.

PY - 2003/12

Y1 - 2003/12

N2 - The occurrence of pulmonary venous obstruction after total cavopulmonary connection with intraatrial lateral tunnel is a rare occurrence. We present two cases of hypoplastic left heart syndrome with restrictive interatrial communication presenting late after this type of modified Fontan repair. This occurred even after complete excision of the atrial septum at the time of Stage 1 Norwood in both cases. A novel approach to this problem of resecting the roof of the coronary sinus was utilized to enlarge the interatrial communication.

AB - The occurrence of pulmonary venous obstruction after total cavopulmonary connection with intraatrial lateral tunnel is a rare occurrence. We present two cases of hypoplastic left heart syndrome with restrictive interatrial communication presenting late after this type of modified Fontan repair. This occurred even after complete excision of the atrial septum at the time of Stage 1 Norwood in both cases. A novel approach to this problem of resecting the roof of the coronary sinus was utilized to enlarge the interatrial communication.

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JO - The Annals of Thoracic Surgery

JF - The Annals of Thoracic Surgery

IS - 6

ER -

Restrictive Interatrial Communication in Hypoplastic Left Heart Syndrome after Modified Fontan Repair

Abstract

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