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Bjork Surgery for Tricuspid Atresia—Revisited

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Abstract

We present a 19-year-old college student completely asymptomatic who underwent successful Bjork surgery (right atrium-to-right ventricle connection) in infancy with excellent results. Surgical approach for tricuspid atresia is done in three stages. Blalock Tuassig shunt soon after birth or pulmonary artery band depending on the size of the ventricular septal defect (VSD) and the main pulmonary artery, Glenn surgery (bidirectional cavopulmonary shunt) at 3–6 months of age, and Fontan surgery at 2–3 years age. There are many short- and long-term complications after Fontan surgery and patients require multiple medications throughout life. For tricuspid atresia with normally related great arteries, large VSD, and normal pulmonary valve, Bjork surgery offers the advantages of right ventricular growth, biventricular function, and good outcome without any medications.

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References

  1. Bjork VO, Olin CL, Bjarke BB, Thoren CA (1979) Right atrial-right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg 77(3):452–458

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  2. Kawachi Y, Tokunaga K, Aso T, Tanaka J, Matsui K, Komori M (1983) A successful repair of tricuspid atresia by modified Bjork’s procedure. Jpn J Surg 13:341–347

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Authors and Affiliations

  1. University of Chicago Children’s Hospital, 5721 South Maryland Avenue, Room C140, Chicago, IL, 60637-1470, USA

    Sadia Tauqeer Ansari & Brojendra Agarwala

Authors
  1. Sadia Tauqeer Ansari
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  2. Brojendra Agarwala
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Correspondence to Brojendra Agarwala.

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Sadia Tauqeer Ansari is visiting physician from Dammam, Saudi Arabia.

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Ansari, S.T., Agarwala, B. Bjork Surgery for Tricuspid Atresia—Revisited. Pediatr Cardiol 30, 1166–1168 (2009). https://doi.org/10.1007/s00246-009-9499-x

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  • DOI: https://doi.org/10.1007/s00246-009-9499-x

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