Surgical procedures for congenital heart defects

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.

Source

TINTINALLI, 2011