Creation of a one-way interatrial communication in the treatment of critical pulmonary stenosis with intact ventricular septum: A case report
Journal
Journal of Cardiac Surgery
Journal Volume
11
Journal Issue
5
Pages
368-370
Date Issued
1996
Author(s)
Abstract
In biventricular repair of pulmonary outflow tract obstruction with intact ventricular septum, the right ventricle is loaded with total pulmonary blood flow acutely as the right-to-left shunt is abolished by closure of the atrial septal defect (ASD). We designed a one-way interatrial communication by creation of an atrial septal flap to reduce the excessive volume load of the right ventricle. This procedure was successfully performed in a 3-year-old girl undergoing definitive biventricular repair for critical pulmonary stenosis associated with tricuspid stenosis and a small right ventricle. We believe that creation of a one-way interatrial communication might be a good alternative to adjustable ASD and/or bidirectional Glenn shunt in biventricular repair of critical pulmonary stenosis or pulmonary atresia with intact ventricular septum.
SDGs
Publisher
Blackwell Publishing Inc.
Type
journal article