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KMID : 0364019910240070719
Korean Journal of Thoracic and Cardiovascular Surgery
1991 Volume.24 No. 7 p.719 ~ p.724
Surgical Treatment of Pulmonary Atresia with Intact Ventricular Septum without Extracorporeal Circulation



Abstract
A case of pulmonary atresia with intact ventricular septum was presented in a 10-month-old cyanotic female patient, which was congenitally rare. Infant with pulmonary atresia and intact ventricular septum usually require urgent surgical it tervention. Angiogram showed the pulmonary atresia at the level of the pulmonary valve, the hypoplasia of tricuspid valve and atrial septal defect without patent ductus arteriosus. We performed the pericardial patch graft on the right ventricular outflow tract and pulmonary artery after ventriculotomy using pacemaker wire as electrical saw and main pulmonary arteriotomy and then modified Waterston shunt from the ascending aorta to patch on the right ventricular outflow tract without extracorporeal circulation. Patient was postoperatively good condition.
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