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Conduit from Hypoplastic Right Ventricle to Pulmonary Artery in Tricuspid Atresia

Division of Congenital Cardiac Surgery, Department of Cardiothoracic Surgery
¹ Division of Pediatric Cardiology, Department of Cardiology, Freeman Hospital, Newcastle upon Tyne, United Kingdom

For reprint information contact: Muhammad M Amanullah, FRCS C-Th, Tel: 44 191 233 6161, Fax: 44 191 223 1417, Email: mmamanullah{at}doctors.org.uk, Division of Congenital Cardiac Surgery, Department of Cardiothoracic Surgery, Freeman Hospital, High Heaton, Newcastle upon Tyne NE7 7DN, United Kingdom.

Tricuspid atresia with transposition of the great arteries produces single ventricle physiology. Ultimate goals of neonatal palliative operations are to provide optimum anatomic and physiologic conditions for a Fontan procedure. A modification of the Norwood procedure is reported, with an aorto-pulmonary anatomosis, utilizing the hypoplastic right ventricle as the pulmonary outflow conduit, avoiding a left ventriculotomy and preserving its function with excellent recovery. We believe this technique has not been previously published in the English literature.