AORTOPULMONARY FENESTRATION WITH PULMONARY-ARTERY SEPTATION FOR SINGLE VENTRICLE AND SUBAORTIC OBSTRUCTION

A neonate with functional single ventricle and severe subaortic obstru ction received a palliative procedure that involved a side-to-side ana stomosis of the aorta and pulmonary artery, placement of a patch in th e main pulmonary artery to divide the systemic and pulmonary circulati ons, and creation of a small opening in the patch to provide pulmonary blood flow. The patient recently underwent a bidirectional Glenn proc edure at 10 months of age. This procedure obviates the need for a modi fied Blalock-Taussig shunt and may provide a more reliable source of b lood to promote growth of both pulmonary arteries.