Regression of Marked Myocardial Sinusoids Associated With Hypoplastic Left Heart Syndrome During Staged Fontan Approach Masamichi Ono, MD, Heidi Goerler,

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Presentation transcript:

Regression of Marked Myocardial Sinusoids Associated With Hypoplastic Left Heart Syndrome During Staged Fontan Approach Masamichi Ono, MD, Heidi Goerler, MD, Harald Bertram, MD, Thomas Breymann, MD The Annals of Thoracic Surgery Volume 90, Issue 3, Pages 1007-1009 (September 2010) DOI: 10.1016/j.athoracsur.2010.03.016 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Still echocardiographic images of (A) the four-chamber view, which shows the minimal blood flow into the hypoplastic left ventricle (arrow), whereas the right ventricle receives blood from the enlarged right atrium; and (B) the parasternal short-axis view demonstrates the presence of myocardial sinusoids in the hypertrophic myocardium of the hypoplastic left ventricle (left, arrows). These sinusoids are easily depicted by color Doppler (right). (LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2010 90, 1007-1009DOI: (10.1016/j.athoracsur.2010.03.016) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Still angiographic images of (A) selective antegrade left ventriculography before the Norwood procedure (upper; frontal, lower; lateral), and (B) selective retrograde aortography before the bidirectional cavopulmonary shunt, (C) before the Fontan procedure, and (D) 5 months after the Fontan procedure. (Asc. Ao = ascending aorta; LV = left ventricle; LCA = left coronary artery; RCA = right coronary artery.) The Annals of Thoracic Surgery 2010 90, 1007-1009DOI: (10.1016/j.athoracsur.2010.03.016) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions