Midterm results of surgical treatment of systemic ventricular outflow obstruction in Fontan patients Takeshi Hiramatsu, MD, Yasuharu Imai, MD, Hiromi.

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Midterm results of surgical treatment of systemic ventricular outflow obstruction in Fontan patients Takeshi Hiramatsu, MD, Yasuharu Imai, MD, Hiromi Kurosawa, MD, Yoshinori Takanashi, MD, Mitsuru Aoki, MD, Toshiharu Shin’oka, MD, Takahiko Sakamoto, MD The Annals of Thoracic Surgery Volume 73, Issue 3, Pages 855-860 (March 2002) DOI: 10.1016/S0003-4975(01)03440-3

Fig 1 Schema and postoperative angiogram of Damus-Kaye-Stansel anastomosis. End-to-side anastomosis: The main pulmonary artery was divided at its bifurcation or the previously banded site, when present. Construction of the aortopulmonary anastomosis was performed in a classic end-to-side fashion. Double-barrel anastomosis: The aorta was transected at a corresponding level above the sinuses of Valsalva and half of both facing great arteries was anastomosed in side-to-side fashion; the distal aorta was sutured to the new bivalved artery without prosthetic material. (Ao = aorta; BVF = bulboventricular foramen; CAVC = common atrioventricular canal; LV = left ventricle; PA = pulmonary artery; SAS = subaortic stenosis; SLV = single left ventricle; s/p = status post.) The Annals of Thoracic Surgery 2002 73, 855-860DOI: (10.1016/S0003-4975(01)03440-3)