[Correction of tricuspid valve atresia using direct right atrium to right ventricle and right atrium to pulmonary artery anastomoses].

Some aspects of the surgical control of tricuspid valve atresia by means of establishing direct communication between the right atrium and the right ventricle or the right atrium and the pulmonary artery are discussed. Six operations have been performed: atrioventricular anastomoses in 3 cases and atrio-pulmonary anastomoses in the other 3, with the pulmonary trunk being joined to the right atrium sparing the pulmonary-arterial valves in one of the latter cases. One patient with a complex of congenital valvular defects died postoperatively from acute heart failure, which may have developed as a result of the newly-established anastomosis being compressed by the breast bone. In the rest, surgical results were quite satisfactory.