The Damus-Fontan procedure

John J. Lamberti; Richard D. Mainwaring; J. Deane Waldman; Lily George; James W. Mathewson; Robert L. Spicer; Stanley E. Kirkpatrick

doi:10.1016/0003-4975(91)90976-W

The Damus-Fontan procedure

John J. Lamberti, Richard D. Mainwaring, J. Deane Waldman, Lily George, James W. Mathewson, Robert L. Spicer, Stanley E. Kirkpatrick

Research output: Contribution to journal › Article

25 Scopus citations

Abstract

The Damus-Kaye-Stansel operation is a useful technique for the treatment of complex cyanotic congenital heat disease when there is obstruction between the systemic ventricle and the aorta. Modifications of the technique include transection of the aorta and the pulmonary artery, anastomosis of the contiguous aortic and pulmonary walls, and connection of the distal aorta to the perimeter of the new bivalved proximal great artery. In addition, the bidirectional cavopulmonary shunt technique can be used with or without the Fontan procedure. Six patients underwent a Damus-Fontan operation, and all survived. Two patients underwent the Damus-cavopulmonary shunt (hemi-Fontan) procedure, and 1 survived. The postoperative status of the 7 survivors is good to excellent. Follow-up ranges from 2 months to 7 1 2 years.

Original language	English (US)
Pages (from-to)	676-679
Number of pages	4
Journal	The Annals of Thoracic Surgery
Volume	52
Issue number	3
DOIs	https://doi.org/10.1016/0003-4975(91)90976-W
State	Published - Sep 1991

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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Lamberti, J. J., Mainwaring, R. D., Waldman, J. D., George, L., Mathewson, J. W., Spicer, R. L., & Kirkpatrick, S. E. (1991). The Damus-Fontan procedure. The Annals of Thoracic Surgery, 52(3), 676-679. https://doi.org/10.1016/0003-4975(91)90976-W

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abstract = "The Damus-Kaye-Stansel operation is a useful technique for the treatment of complex cyanotic congenital heat disease when there is obstruction between the systemic ventricle and the aorta. Modifications of the technique include transection of the aorta and the pulmonary artery, anastomosis of the contiguous aortic and pulmonary walls, and connection of the distal aorta to the perimeter of the new bivalved proximal great artery. In addition, the bidirectional cavopulmonary shunt technique can be used with or without the Fontan procedure. Six patients underwent a Damus-Fontan operation, and all survived. Two patients underwent the Damus-cavopulmonary shunt (hemi-Fontan) procedure, and 1 survived. The postoperative status of the 7 survivors is good to excellent. Follow-up ranges from 2 months to 7 1 2 years.",

author = "Lamberti, {John J.} and Mainwaring, {Richard D.} and Waldman, {J. Deane} and Lily George and Mathewson, {James W.} and Spicer, {Robert L.} and Kirkpatrick, {Stanley E.}",

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AU - Lamberti, John J.

AU - Mainwaring, Richard D.

AU - Waldman, J. Deane

AU - George, Lily

AU - Mathewson, James W.

AU - Spicer, Robert L.

AU - Kirkpatrick, Stanley E.

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AB - The Damus-Kaye-Stansel operation is a useful technique for the treatment of complex cyanotic congenital heat disease when there is obstruction between the systemic ventricle and the aorta. Modifications of the technique include transection of the aorta and the pulmonary artery, anastomosis of the contiguous aortic and pulmonary walls, and connection of the distal aorta to the perimeter of the new bivalved proximal great artery. In addition, the bidirectional cavopulmonary shunt technique can be used with or without the Fontan procedure. Six patients underwent a Damus-Fontan operation, and all survived. Two patients underwent the Damus-cavopulmonary shunt (hemi-Fontan) procedure, and 1 survived. The postoperative status of the 7 survivors is good to excellent. Follow-up ranges from 2 months to 7 1 2 years.

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