We have located links that may give you full text access.
Journal Article
Review
Further observations on the spontaneous closure of physiologically advantageous ventricular septal defects in tricuspid atresia: surgical implications.
Annals of Thoracic Surgery 1983 Februrary
Clinical, angiographic, and pathological findings in 40 consecutive patients with tricuspid atresia were reviewed. In 14 patients, there was evidence of closure of the ventricular septal defect (VSD); it was complete in 8 and partial in the other 6. Eleven of these VSD closures occurred in type I patients (without transposition of the great arteries) and 3 in type II patients (with transposition). Progressive cyanosis, along with increasing polycythemia or the disappearance of a previously heard murmur, or both, was observed in all patients. The incidence of closure of VSD in this lesion was 42%. Progressive muscular "encroachment" of the margins of the VSD with subsequent fibrosis and covering by endocardial proliferation is thought to be the most likely mechanism of closure. For initial palliation of this defect, a Blalock-Taussig shunt--preferably on the left side--is recommended in preference to a Glenn anastomosis, because the latter may leave the left pulmonary circuit without blood supply if the VSD closes. If further palliation is required prior to a Fontan procedure, a Blalock-Taussig shunt on the right side, Glenn anastomosis, or enlargement of the VSD may be performed. In type II patients, a large and nonrestrictive VSD is essential for survival following a Fontan operation. Therefore, the size of the VSD should be evaluated prior to and at the time of surgical correction. If the VSD is small in type II patients, complete bypass of the defect and right ventricle by a pulmonary artery-ascending aorta shunt or by a left ventricle-descending aorta conduit should be performed.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
Perioperative echocardiographic strain analysis: what anesthesiologists should know.Canadian Journal of Anaesthesia 2024 April 11
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app