KMID : 0364019950280111045
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Korean Journal of Thoracic and Cardiovascular Surgery 1995 Volume.28 No. 11 p.1045 ~ p.1048
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Surgical Correction of Pulmonary Atresia with VSD
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Abstract
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onary atresia with VSD is uncommon congenital anomaly with high mortality in neonatal period. Recently we experienced surgical correction of pulmonary atresia with VSD. The case was 2 month old male patient diagnosed as pulmonary atresia with VSD
and
PDA. Atetic pulmonary artery segment from Rt ventricular infundibulum to pulmonary artery was 1 cm in length. The pulmonary trunk tapered toward Right ventricular infundibulum and resulted in blind pouch wit diameter of 1 mm. The left pumonary
artery
was stenosed at just proximal and distal part to which PDA was connected. Total correction was undertaken which consisted of PDA ligation, dacron patch closure of VSD, establishment of continuity between right ventricle and pulmonary artery with
autogenous pericardium. Postoperative systolic right ventricular pressure and left ventricular pressure ratio was 0.7. In patient with pulmonary atresia with VSD it is advisable to perform a corrective operation, whenever the size and anatomy of
pulmonary artery are acceptable for it.
(Korean J Thoracic Cardiovas Sung 1995;28:1045-8)
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KEYWORD
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