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July 23, 1973

Medical News

JAMA. 1973;225(4):353-366. doi:10.1001/jama.1973.03220310003002

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Girl approaches 12 months' survival after tricuspid surgery  September 12 will be something of a milestone for a 12-year-old girl with tricuspid atresia, and for the thoracic surgeons who corrected it with a procedure pioneered by the French.It will be a year from the day that the girl, daughter of a retired Air Force sergeant, became the second person in the United States to undergo the procedure. Essentially, the procedure involves this:An aortic vascular allograft conduit, containing the valve and anterior mitral leaflet, is connected from the right atrium to the left pulmonary artery. In addition, a pulmonary valve allograft is inserted at the junction of the right atrium and inferior vena cava (to prevent reflux into the inferior vena cava with atrial contraction).Some surgeons also feel that the procedure should also include the insertion of a (Glenn) shunt between the superior vena cava and right pulmonary