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- W1565018766 abstract "SUMMARY The first atriopulmonary anastomosis (APA) was carried out in our enviroment without having knowledge of the Fontan work, who claimed the right atrium (RA) ventricularization by placing an inlet valve in the inferior vena cava (IVC). Our beginning was different, because it was based on the concept that the end-diastolic pressure of the main ventricle is the suction hemodynamics propellant source of this system.We never place a valve in the IVC and from the beginning we developed the concept of fenestration as atrial escape valve. In 1971 we describe two techniques of APA (one with homograft and the other with the patient’s own pulmonary artery) and in 1978, a posterior direct APA as large as possible, without any valvular implant. The evolutionary process that led to the Fontan-Kreutzer (FK) procedure was determined by the evolution of thought in pediatric cardiology since the pioneer Dr. Rodolfo O. Kreutzer created the cardiology department, with the support of Dr. Alberto Rodriguez Coronel in charge of catherization laboratory and anatomic pathologic department in the hands of Dr. Luis Becu." @default.
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- W1565018766 date "2011-11-15" @default.
- W1565018766 modified "2023-09-24" @default.
- W1565018766 title "Evolutionary Process of the Fontan-Kreutzer Procedure" @default.
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- W1565018766 doi "https://doi.org/10.7775/rac.79.1.559" @default.
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