Results of systemic-to-pulmonary artery anastomosis for tricuspid atresia with reduced pulmonary blood flow

G. Crupi, O. Alfieri, G. Locatelli, M. Villani, L. Parenzan

Research output: Contribution to journalArticlepeer-review

Abstract

Fifty-six patients with tricuspid atresia and decreased pulmonary blood flow received a systemic-to-pulmonary artery anastomosis as a preliminary operation. Thirty-five had a waterston shunt, 12 a Blalock-Taussig anastomosis, and nine various other procedures. The age at operation ranged from 2 days to 10 years (median 4.5 months). Pulmonary atresia was present in eight newborn infants. Four patients (7%), all less than 3 months old, died in hospital from persistent severe hypoxia despite the palliative procedure. By actuarial methods, 93% of the survivors were alive at and after one year (longst follow-up: 9.8 years), while 83% had not required further palliation at and after four years from the first operation. None of the patients subsequently restudied had raised pulmonary pressure or resistances, and in most of them the pulmonary arterial tree was deemed adequate for the Fontan operation.

Original languageEnglish
Pages (from-to)290-293
Number of pages4
JournalThorax
Volume34
Issue number3
Publication statusPublished - 1979

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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