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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Freedom, Robert M. Hamilton, Robert Yoo, Shi-Joon Mikailian, Haverj Benson, Lee McCrindle, Brian Justino, Henri and Williams, W.G. 2000. The Fontan procedure: analysis of cohorts and late complications. Cardiology in the Young, Vol. 10, Issue. 04,
    Freedom, Robert M. 1998. From Maude to Claude: the musings of an insomniac in the era of evidence-based medicine. Cardiology in the Young, Vol. 8, Issue. 01,
    Campbell, Rosalie M Adatia, Ian Gow, Robert M Webb, Gary D Williams, William G and Freedom, Robert M 1998. Total cavopulmonary anastomosis (Fontan) in children with Down’s syndrome. The Annals of Thoracic Surgery, Vol. 66, Issue. 2, p. 523.
    Gelatt, Mark Hamilton, Robert M. McCrindle, Brian W. Gow, Robert M. Williams, William G. Trusler, George A. and Freedom, Robert M. 1994. Risk factors for atrial tachyarrhythmias after the fontan operation. Journal of the American College of Cardiology, Vol. 24, Issue. 7, p. 1735.
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The potentially obstructive subaortic region and banding of the pulmonary trunk—selected observations in the patient considered for a Fontan procedure

  • Robert M. Freedom (a1), Teiji Akagi (a1) and Leland N. Benson (a1)
Summary

There is a clear and present danger for the patient considered for Fontan's operation in the presence of excessive ventricular hypertrophy and/or mass. Such ventricular hypertrophy and/or mass probably reflects singly, or in combination, banding of the pulmonary trunk and subaortic stenosis, as well as other factors. While one can construct a number of therapeutic algorithms for patients seen at various ages with a restrictive ventricular septal defect and subaortic stenosis in the setting of double inlet left ventricle and discordant ventriculoarterial connections, the optimal management should be to minimize the potential risks for development of subaortic stenosis and excessive ventricular hypertrophy and/or mass.

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      The potentially obstructive subaortic region and banding of the pulmonary trunk—selected observations in the patient considered for a Fontan procedure
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      The potentially obstructive subaortic region and banding of the pulmonary trunk—selected observations in the patient considered for a Fontan procedure
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Copyright
COPYRIGHT: © Cambridge University Press 1993
Corresponding author
Correspondence to Dr. Robert M. Freedom, The Hospital for Sick Children, Division of Cardiology, Room 1503, 555 University Avenue, Toronto, Ontario, CanadaM5G 1X8. Tel. 416-598-6132; Fax. 416-598-7547.
References
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Cardiology in the Young
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  • EISSN: 1467-1107
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