Surgical repair of tricuspid atresia

Thorax. 1971 May;26(3):240-8. doi: 10.1136/thx.26.3.240.

Abstract

Surgical repair of tricuspid atresia has been carried out in three patients; two of these operations have been successful. A new surgical procedure has been used which transmits the whole vena caval blood to the lungs, while only oxygenated blood returns to the left heart. The right atrium is, in this way, `ventriclized', to direct the inferior vena caval blood to the left lung, the right pulmonary artery receiving the superior vena caval blood through a cava-pulmonary anastomosis. This technique depends on the size of the pulmonary arteries, which must be large enough and at sufficiently low pressure to allow a cava-pulmonary anastomosis. The indications for this procedure apply only to children sufficiently well developed. Younger children or those whose pulmonary arteries are too small should be treated by palliative surgical procedures.

MeSH terms

  • Adult
  • Angiocardiography
  • Arteriovenous Shunt, Surgical
  • Blood Pressure
  • Child
  • Erythrocyte Count
  • Extracorporeal Circulation
  • Female
  • Heart Valve Diseases / diagnostic imaging
  • Hematocrit
  • Humans
  • Methods
  • Postoperative Care
  • Pulmonary Artery / surgery
  • Tricuspid Valve Stenosis / surgery*
  • Vena Cava, Superior / surgery