[Surgical treatment of pulmonary stenosis in childhood].
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Biomedical subjects
Publications and source records attributed to G Locatelli.
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The angiographic and intraoperative findings are described in two children with imperforate tricuspid valve with atrioventricular and ventriculoarterial concordance who underwent a successful Fontan operation. It is important from a surgical point of view to distinguish this rare variant of tricuspid atresia from the more classic form with absent atrioventricular connection. The characteristic feature of hearts with imperforate tricuspid valve is the presence of a normally formed right ventricle which, in the presence of ventriculoarterial concordance, can be used to support the pulmonary circulation. When the imperforate valve is large, it may be possible to remove it, and restore atrioventricular continuity. Alternatively, an atrioventricular type of Fontan repair using a valved conduit should be considered as the treatment of choice in the presence of a suitable pulmonary arterial tree and pulmonary valve.
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The Authors report their experience on four patients affected with left-sided congenital diaphragmatic hernia presented in the post-natal period. They describe the symptoms, diagnosis and surgical approach and discuss the prompt and normal response of the respiratory function to the operation.
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