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Pediatric Cardiology

, Volume 5, Issue 3, pp 221–223 | Cite as

Surgical closure of the tricuspid valve for pulmonary atresia, intact ventricular septum, and right ventricle to coronary artery communications

  • J. Deane Waldman
  • John J. Lamberti
  • James W. Mathewson
  • Lily George
Case Reports

Summary

A surgical approach is reported for a patient with pulmonary atresia, intact ventricular septum, and right ventricle to coronary artery communications through sinusoids. A shunt procedure was performed at two days of age; the right ventricular outflow tract was not opened. At subsequent catheterization, the tricuspid valve was temporarily closed with a balloon catheter and no change was seen in the ECG. At five months of age, the right ventricle was plicated and a patch was sewn over the tricuspid valve. One year after surgery, neither the right ventricular cavity nor the sinusoids could be demonstrated at angiocardiography; ECG changes of left ventricular ischemia have resolved, and the child is growing normally.

Key words

Cyanotic congenital heart disease Coronary “steal” syndrome Pulmonary atresia Coronary-camerol fistula 

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References

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Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • J. Deane Waldman
    • 1
    • 2
  • John J. Lamberti
    • 1
    • 2
  • James W. Mathewson
    • 1
    • 2
  • Lily George
    • 1
    • 2
  1. 1.Division of CardiologyChildren's Hospital of San DiegoSan DiegoUSA
  2. 2.Division of Cardiovascular SurgeryChildren's Hospital of San DiegoSan DiegoUSA

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