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Treatment

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Neonates:

  • Prostaglandin E2 to maintain ductal patency and pulmonary blood flow
  • Blalock-Taussig shunt to increase pulmonary flow

Older children:

  • Glenn anastomosis - right superior vena cava to right pulmonary artery - to provide deoxygenated blood to the lungs Later surgical management:
  • Fontan operation - anastomosis of right atrium to pulmonary artery either directly or via a conduit
  • If right ventricular size permits a modified Fontan procedure in which a valve containing conduit is placed between the right atrium and ventricle producing a four chamber four valve heart

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