van Son J A, Vander Woude J C, Cheng W, Silverman N H, Cahalan M K, Hanley F L
Division of Cardiothoracic Surgery, University of California at San Francisco 94143-0118, USA.
Ann Thorac Surg. 1995 Nov;60(5):1403-4. doi: 10.1016/0003-4975(95)00463-U.
An infant with pulmonary atresia and intact ventricular septum is presented who, after initial patch reconstruction of the right ventricular outflow tract and bidirectional cavopulmonary anastomosis through a fifth median sternotomy, underwent an echocardiographically guided closed atrial septotomy, which resulted in marked long-term clinical improvement. The technique of intraoperative transesophageal echocardiography as used in the presented case represents an expanded role for this diagnostic modality in congenital cardiac surgery.
