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. 2023 Jul;14(4):500-502.
doi: 10.1177/21501351231162894. Epub 2023 Apr 2.

Perfusion Strategy to Prevent Right Ventricular Decompression on Cardiopulmonary Bypass During Extracardiac Fontan for Right Ventricle-Dependent Coronary Circulation

Reena Khantwal Joshi  1 , Neeraj Aggarwal  2 , Mridul Agarwal  2 , Siddartha C Rudrappa  3 , Raja Joshi  3
Affiliations

Perfusion Strategy to Prevent Right Ventricular Decompression on Cardiopulmonary Bypass During Extracardiac Fontan for Right Ventricle-Dependent Coronary Circulation

Reena Khantwal Joshi et al. World J Pediatr Congenit Heart Surg. 2023 Jul.

Abstract

Early and long-term outcomes in patients with pulmonary atresia-intact ventricular septum undergoing staged univentricular palliations have been known to be adversely affected by the presence of right ventricle-dependent coronary circulation. We describe a surgical technique to circumvent the coronary insufficiency caused by acute decompression of the right heart.

Keywords: Fontan; Pulmonary atresia with intact ventricular septum; right ventricle dependent coronary circulation; right ventricular decompression.

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