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Therefore, a large left-to-right shunt through a patent ductus arteriosus (PDA) results in left atrial and left ventricular enlargement. The pulmonary veins and the ascending aorta can also be dilated with a sufficiently large patent ductus arteriosus (PDA).
In these situations, the Yasui procedure allows for a biventricular repair that leaves the left ventricle as the systemic ventricle, but uses the pulmonary valve as the systemic semilunar valve by tunneling a ventricular septal defect (VSD) towards the pulmonary valve, and coronary perfusion is assured by a Damus-Kay-Stansel anastomosis amalgamating ...