Hopkins, Kali A.Brown, John W.Darragh, Robert K.Kay, W. Aaron2018-11-092018-11-092018Hopkins, K. A., Brown, J. W., Darragh, R. K., & Kay, W. A. (2018). Converting Fontan-Björk to 1.5- or 2-ventricle circulation. The Annals of Thoracic Surgery. https://doi.org/10.1016/j.athoracsur.2018.07.097https://hdl.handle.net/1805/17745Patients with tricuspid atresia and ventricular septal defect have in the past occasionally undergone a Fontan with “Björk” modification to create a connection between the right atrium and the right ventricular outflow tract. While rarely performed now, patients with this physiology often face severe complications requiring re-intervention. We hypothesize that surgical conversion to a 2-ventricle or 1.5-ventricle circulation can improve hemodynamics, clinical status, and thus increase time to transplant. We present two successful cases to illustrate this idea.enPublisher Policytricuspid atresiaventricular septal defectsurgical interventionsArticle