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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2009:145-51. doi: 10.1053/j.pcsu.2009.01.017.

Surgical management of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals: a protocol-based approach.

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  • 1Departments of Surgery and Pediatrics, Congenital Heart Center, University of Florida, Gainesville, FL, USA.

Abstract

Historically, outcomes of pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals have been quite poor. Over the past 15 years, our group has strived to apply a consistent surgical strategy for this lesion based on two guiding principles: early unifocalization of all important collaterals; and the early establishment of a low-pressure pulmonary arterial bed, preferably using simultaneous intracardiac repair. We describe a management protocol that has been developed to handle the highly variable nature of pulmonary blood flow observed with this lesion.

PMID:
19349030
DOI:
10.1053/j.pcsu.2009.01.017
[PubMed - indexed for MEDLINE]
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