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Surgical procedures for congenital heart defects
From WikEM
Surgical Procedures for the Treatment of Congenital Heart Defects
| Procedure | Cardiac Lesion | Objective |
| Rashkind balloon atrial septostomy | Transposition of the great arteries | Palliative procedure, creates an atrial communication to allow for the mixing of oxygenated and deoxygenated blood. |
| Blalock-Taussig shunt, modified Blalock-Taussig shunt (Gore-Tec shunt involving less dissection) | Pulmonary stenosis, pulmonary atresia, tetralogy of Fallot | Connects the subclavian artery to the ipsilateral pulmonary artery allowing for improved pulmonary blood flow. |
| Fontan procedure | Hypoplastic left heart syndrome, tricuspid atresia, hypoplastic right heart syndrome, single right ventricle lesions | Cavocaval baffle to pulmonary artery anastomosis allows all systemic venous return to the directed to the pulmonary arteries. |
| Arterial switch operation | Transposition of the great arteries | Aortic trunk is connected to the left ventricle, pulmonic trunk is connected to the right ventricle. |
| Glenn operation | Hypoplastic left heart syndrome, hypoplastic right heart syndrome | Cavopulmonary shunt connects the superior vena cava to the right pulmonary artery. |
| Norwood operation, Norwood operation with Sano modification | Hypoplastic left heart syndrome, single ventricle lesions with aortic stenosis or hypoplasia | Aortic arch reconstruction using the main pulmonary artery and ascending aorta, atrial septectomy, and modified Blalock-Taussig shunt provides unobstructed systemic blood flow and adequate coronary artery perfusion. |
