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The Society of Thoracic Surgeons

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Course Description

After reading this article, the learner should be able to:
- recognize that patients with double inlet left ventricle or with tricuspid atresia and transposed great arteries have a risk for the development of systemic outflow tract obstruction which, with single ventricle anatomy, can be very problematic.
- recognize that there are various ways of dealing with systemic outflow tract obstruction in these patients including a Norwood procedure, a Damus-Stansel-Kaye procedure, enlargement of the ventricular septal defect (bulboventricular foramen), a palliative arterial switch procedure or even an early hybrid type Norwood procedure.
- recognize that in the these patients, the presence of some form of arch obstruction (coarctation, hypoplastic aortic arch, or interrupted aortic arch) can be predictive of the development of systemic outflow tract obstruction and thus need to be dealt with.
- identify that systemic outflow tract obstruction in these patients, although usually occurring within the first year of life, can occur late, even after the Fontan procedure.

Activity Details

Credit Types:CME
Credit Amount:1.00 Credits
Release Date:2019-Apr-01
Expiration Date:2021-Apr-01
Estimated Time for Completion:1 hour
Registration Required:Yes
System Requirements:
Internet Access and Adobe Acrobat Reader.

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