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Case Report

Simultaneous Atrioventricular Valve Repair Compelling Creation of Unconventional Fenestration During Extracardiac Total Cavopulmonary Connection

Gananjay G. Salve, Shreepal A. Jain, Bharat V. Dalvi, Krishnanaik Shivaprakash

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This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Journal of Cardiovascular Medicine and Surgery 10(1-2):p 39-42, January – June 2024. | DOI: https://doi.org/10.21088/jcms.2454.7123.10(1-2)24.7

How Cite This Article:

Gananjay G. Salve, Shreepal A. Jain, Bharat V. Dalvi, Krishnanaik Shivaprakash. Simultaneous Atrioventricular Valve Repair Compelling Creation of Unconventional Fenestration During Extracardiac Total Cavopulmonary Connection. J Cardiovasc Med Surg.2024;10(1-2):39-42.

Timeline

Received : February 26, 2024         Accepted : June 25, 2024          Published : June 30, 2024

Abstract

Severe regurgitation of the atrio-ventricular valve and borderline pulmonary vascular resistance are risk factors for failure of univentricular repair. We believe that fenestration in the Fontan pathway plays an important role in avoiding postoperative catastrophesimmediate and late, in such high-risk substrates. Rarely, the intra-operative circumstances compel the surgeon to opt for an unconventional method of fenestration. We report an interesting case of high-risk univentricular repair, had previously undergone pulmonary artery banding and bidirectional Glenn shunt, who now required a simultaneous repair of the regurgitant atrio-ventricular valve compelling the creation of an unconventional fenestration during Stage III palliation.

References

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Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

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Cite this article

Gananjay G. Salve, Shreepal A. Jain, Bharat V. Dalvi, Krishnanaik Shivaprakash. Simultaneous Atrioventricular Valve Repair Compelling Creation of Unconventional Fenestration During Extracardiac Total Cavopulmonary Connection. J Cardiovasc Med Surg.2024;10(1-2):39-42.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
February 26, 2024 June 25, 2024 June 30, 2024
DOI: https://doi.org/10.21088/jcms.2454.7123.10(1-2)24.7

Keywords

Atrio-ventricular valve regurgitationCompletion fontan procedureUnconventional fenestration

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Timeline

Received February 26, 2024
Accepted June 25, 2024
Published June 30, 2024

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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