Titlebook: Atlas of Pediatric Cardiac Surgery; Constantine Mavroudis,Carl Lewis Backer Book 2015 Springer-Verlag London 2015 Atrial Septal Defect.Car

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Aortopulmonary Window,o those of a large patent ductus arteriosus and truncus arteriosus, in which the left-to-right shunt results in a wide pulse pressure and diastolic runoff into the pulmonary artery. Commonly associated lesions include patent ductus arteriosus, interrupted aortic arch, and tetralogy of Fallot.

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Double-Outlet Ventricles (with Two Adequate Ventricles),r connections, atrioventricular and arterial valve atresia, and atrial isomerism. Double-outlet right ventricle is frequently associated with a single functional ventricle, but this chapter focuses on DORV with two functioning ventricles.

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Congenitally Corrected Transposition of the Great Arteries,r in association with situs solitus (normal atrial situs) or situs inversus. In addition, the conduction system in patients with ccTGA is notably atypical. Furthermore, the incidence of spontaneous heart block is high, even without surgical correction. Figure 15.2a shows a patient with ccTGA, VSD, a

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,Fontan Operation and 1½ Ventricular Repair,tion, some surgeons have used this obligatory right-to-left shunt in all cases, but some use it selectively and others, not at all. Most surgeons now use the fenestration selectively, especially in cases with borderline ventricular function, small pulmonary arteries, abundant aortopulmonary artery c

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Oszkár Semeráth,András Vörös,Dániel Varróh the adventitia and into—but not through—the media. Transaortic sutures are avoided, to prevent bleeding. If unwanted transaortic suture placement results in bleeding, the surgeon must assess its extent and magnitude. A transaortic suture often (but not always) must be removed and replaced to prevent ongoing bleeding during the procedure.

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Perdita Stevens,Andrzej Wąsowskihniques have improved, and redo is no longer a risk factor for reoperations. Most surgeons now prefer a median sternotomy approach for PAB because of the improved exposure for anatomic and physiologic manipulations. The exposure for PAB shown in this chapter, therefore, is through a median sternotomy.

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