Closure of the Right Atrioventricular Valve in the Modified Fontan Operation for Univentricular Heart

Surgical palliation of univentricular hearts by a modified Fontan operation has become a useful procedure for these complicated cases. Closure of the right atrioventricular valve is an important part of the operation. Patch closure has been the technique used by most surgeons. Heart block and dehisc...

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Bibliographic Details
Published in:	The Annals of thoracic surgery Vol. 34; no. 6; pp. 714 - 715
Main Authors:	Núñez, L., Aguado, M. Gil, Celemín, D., Larrea, J.L.
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Inc 01-12-1982
Subjects:	Heart Ventricles - abnormalities Heart Ventricles - surgery Humans Methods Tricuspid Valve - surgery
Online Access:	Get full text
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Summary:	Surgical palliation of univentricular hearts by a modified Fontan operation has become a useful procedure for these complicated cases. Closure of the right atrioventricular valve is an important part of the operation. Patch closure has been the technique used by most surgeons. Heart block and dehiscence of the patch have been two common complications of this technique; both involve severe hemodynamic upset and often death to the patients in the early postoperative period. We closed the right atrioventricular valve by approximating the leaflets using pledgeted mattress sutures in two patients. Advantages of this type of closure are avoidance of the conduction system and secure closure of the valve.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(10)60916-2