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The Journal of Thoracic and Cardiovascular Surgery, Vol 72, 383-400, Copyright © 1976 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
S Bharati, HA McAllister Jr, CJ Tatooles, RA Miller, M Weinberg Jr, HG Bucheleres and M Lev
In the anatomy of 416 hearts, the seat of tricuspid stenosis or atresia is
examined, with special reference to Fontan-like surgical procedures. A
classification is offered which includes cases with and without regular or
inverted transposition, and with decreased or increased pulmonary flow. The
size and thickness of the right atrium, the size and architecture of the
right ventricle, the size of the pulmonary tree, the types of atrial and
ventricular septal defects, the condition of the mitral valve, and the size
and thickness of the left atrium and left ventricle are analyzed. In
addition the various intracardiac and extracardiac abnormalities are
enumerated. Reference is also made to the tendency of the aorta and
pulmonary trunk to override the septum, in some cases producing
double-outlet left ventricle. It is considered that many cases of tricuspid
valve atresia and stenosis with or without transposition may be amenable to
Fontan-like procedures in the proper age group. All the above anatomic
considerations have a bearing on the suitability and type of operative
tricuspid bypass procedures, and they may influence the prognosis of
surgical therapy.
ARTICLES
Anatomic variations in underdeveloped right ventricle related to tricuspid atresia and stenosis
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