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World J Pediatr Congenit Heart Surg · Mar 2020
Case ReportsModified Damus-Kaye-Stansel Connection for Systemic Outflow Tract Obstruction After Fontan Operation.
- Lok Sinha, Katherine Klein, Karthik Ramakrishnan, and Richard Jonas.
- Department of Cardiovascular Surgery, Children's National Health System, Washington, DC, USA.
- World J Pediatr Congenit Heart Surg. 2020 Mar 1; 11 (2): 220-221.
AbstractLate systemic outflow tract obstruction following completion of the Fontan palliation is rarely seen and is a difficult problem to treat. Absence of the main pulmonary trunk and pulmonary valve at this stage makes a conventional Damus-Kaye-Stansel connection difficult to achieve. We report the case of a 37-year-old female who underwent Fontan completion as an adult and subsequently presented with systemic outflow tract obstruction. A valved conduit was interposed between the native pulmonary annulus and the ascending aorta to create a modified Damus-Kaye-Stansel type connection.
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