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Aortic arch and pulmonary artery reconstruction during heart transplantation after failed Fontan procedure.

Abstract
Recent significant improvement in surgical management of patients with univentricular palliations has resulted in an increasing number of patients with complex univentricular heart repairs surviving to heart transplantation. Heart transplantation in these patients can be challenging and may require extensive vascular reconstruction during transplantation. Herein, we describe the surgical reconstruction in a complex patient that was required prior to heart transplantation.
AuthorsAjay J Iyengar, Varun J Sharma, Yves d'Udekem, Igor E Konstantinov
JournalInteractive cardiovascular and thoracic surgery (Interact Cardiovasc Thorac Surg) Vol. 18 Issue 5 Pg. 693-4 (May 2014) ISSN: 1569-9285 [Electronic] England
PMID24501279 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adolescent
  • Aorta, Thoracic (surgery)
  • Blood Vessel Prosthesis Implantation
  • Fontan Procedure (adverse effects)
  • Heart Transplantation (methods)
  • Humans
  • Hypoplastic Left Heart Syndrome (diagnosis, surgery)
  • Pulmonary Artery (surgery)
  • Plastic Surgery Procedures
  • Reoperation
  • Treatment Failure
  • Treatment Outcome

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