Restrictive interatrial communication in hypoplastic left heart syndrome after modified Fontan repair Hassan W Nemeh, MD, Sushma Reddy, MD, Henry L Walters,

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Presentation transcript:

Restrictive interatrial communication in hypoplastic left heart syndrome after modified Fontan repair Hassan W Nemeh, MD, Sushma Reddy, MD, Henry L Walters, MD, Mehdi Hakimi, MD, Robert D Ross, MD The Annals of Thoracic Surgery Volume 76, Issue 6, Pages 2089-2091 (December 2003) DOI: 10.1016/S0003-4975(03)01173-1

Fig 1 Subcostal echocardiograph from case 1 demonstrating a small interatrial communication (arrow). The asterisk is within the lateral tunnel. (LA = left atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2003 76, 2089-2091DOI: (10.1016/S0003-4975(03)01173-1)

Fig 2 (A) Surgical view of the opened right atrium showing the small interatrial communication in the midseptum. (B) Unroofing of the coronary sinus with extension of the incision up to the interatrial communication. (C) Afterwards, the interatrial communication is widely patent with visualization of the left pulmonary veins. The Annals of Thoracic Surgery 2003 76, 2089-2091DOI: (10.1016/S0003-4975(03)01173-1)