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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2004 February;45(1):35-8

Copyright © 2004 EDIZIONI MINERVA MEDICA

lingua: Inglese

Left ventricular outflow obstruction after Fontan procedure involving a patient with complete atrioventricular septal defects complicated by a small left ventricle

Senzaki H. 1, Kobayashi T. 1, Morsy M. 1, Asano H. 2, Kyo S. 2, Yokote Y. 2

1 Department of Pediatric Cardiology Saitama Heart Institute Saitama Medical School Hospital, Saitama, Japan
2 Department of Cardiovascular Surgery Saitama Heart Institute Saitama Medical School Hospital, Saitama, Japan


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We report a 1-year-old girl who developed ventricular outflow tract obstruction early after a Fontan operation, necessitating surgical relief using the Damus-Kaye-Stansel procedure. The patient had a complete atrioventricular septal defect complicated by a muscular ventricular septal defect (VSD) and a small left ventricle, a morphology that has not previously been reported in cases of systemic outflow tract obstruction after the Fontan procedure. Postoperative systemic outflow obstruction must be considered as a possible sequela following Fontan surgery in patients with an atrioventricular septal defect and a small left ventricle.

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