Browsing by Subject "ventricular septal defect"

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    Converting Fontan-Björk to 1.5- or 2-ventricle circulation
    (Elsevier, 2018) Hopkins, Kali A.; Brown, John W.; Darragh, Robert K.; Kay, W. Aaron; Graduate Medical Education
    Patients 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.