| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1995;110:625-0632
© 1995 Mosby, Inc.
SURGERY FOR CONGENITAL HEART DISEASE |
Tokyo, Japan
From the Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo, Japan.
Received for publication Sept. 15, 1994. Accepted for publication Jan. 10, 1995. Address for reprints: Hiromi Kurosawa, MD, Department of Cardiovascular Surgery, Jikei University School of Medicine, 3-25-8, Nishishinbashi, Minatoku, Tokyo, Japan.
Abstract
Total cavopulmonary connection with use of an autogenous intraatrial tunnel to create a straight tube between the inferior vena cava and the pulmonary artery was attempted in several types of cardiac anomaly in eight consecutive candidates for the Fontan operation. A small right atrium with an extraordinary location of the inferior vena cava and a short superior vena cava prevented the use of this procedure in two cases. By preserving the crista terminalis and the sinus node and its arteries we prevented the development of postoperative atrial arrhythmias in the short follow-up period, and the P trigger-signal averaged P waves were not different from those of other cardiac anomalies. The proximal stump of the superior vena cava was not incised in any case to enlarge the anastomosis, even when size mismatch between the superior and inferior venae cavae existed, as in a case of bilateral superior venae cavae. Stretching the vessels by approximately 150% was possible and permitted an adequate anastomosis. Cavopulmonary connections via the intraatrial tunnel ensured smooth, nonturbulent, somewhat pulsatile flow without a pressure gradient. We concluded that the creation of an autogenous intraatrial tunnel was possible in many cases without serious complications and that this procedure has potential benefit for the pulmonary circulation in the aspect of pulsatility. (J THORACCARDIOVASCSURG1995;110: 625-32)
This article has been cited by other articles:
|
|
 |
|
  I. Adachi, T. Yagihara, K. Kagisaki, I. Hagino, T. Ishizaka, M. Koh, H. Uemura, and S. Kitamura Fontan operation with a viable and growing conduit using pedicled autologous pericardial roll: Serial changes in conduit geometry J. Thorac. Cardiovasc. Surg., December 1, 2005; 130(6): 1517 - 1522. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R Kaulitz and M Hofbeck Current treatment and prognosis in children with functionally univentricular hearts Arch. Dis. Child., July 1, 2005; 90(7): 757 - 762. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Kaulitz, G. Ziemer, R. Rauch, M. Girisch, H. Bertram, A. Wessel, and M. Hofbeck Prophylaxis of thromboembolic complications after the Fontan operation (total cavopulmonary anastomosis) J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 569 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. G. Lim, W.-H. Kim, S.-S. Oh, C. Lim, S.-J. Kim, Y. T. Lee, and S.-C. Kim Alternative Fontan Connection for Apicocaval Juxtaposition Ann. Thorac. Surg., March 1, 2005; 79(3): 1047 - 1049. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Nakano, H. Kado, S. Ishikawa, Y. Shiokawa, H. Ushinohama, K. Sagawa, N. Fusazaki, Y. Nishimura, Y. Tanoue, T. Nakamura, et al. Midterm surgical results of total cavopulmonary connection: clinical advantages of the extracardiac conduit method J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 730 - 737. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. K. Woods, U. Dyamenahalli, B. W. Duncan, G. L. Rosenthal, and F. M. Lupinetti Comparison of extracardiac Fontan techniques: Pedicled pericardial tunnel versus conduit reconstruction J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 465 - 471. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Okano, M. Yamagishi, K. Shuntoh, Y. Yamada, K. Hayashida, T. Shinkawa, and N. Kitamura Extracardiac total cavopulmonary connection using a Y-shaped graft Ann. Thorac. Surg., December 1, 2002; 74(6): 2195 - 2197. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Suzuki, T. Murai, M. Sato, T. Ito, and T. Fukuda Arrhythmia after modified total cavopulmonary connection without use of prosthetic material Ann. Thorac. Surg., January 1, 2002; 73(1): 102 - 106. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Yamada, X. Roques, N. Elia, M.-N. Laborde, M. Jimenez, A. Choussat, and E. Baudet The short- and mid-term results of bidirectional cavopulmonary shunt with additional source of pulmonary blood flow as definitive palliation for the functional single ventricular heart Eur. J. Cardiothorac. Surg., December 1, 2000; 18(6): 683 - 689. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Dore and J. Somerville Right atrioventricular extracardiac conduit as a Fontan modification: late results Ann. Thorac. Surg., January 1, 2000; 69(1): 181 - 185. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Gerdes, J. Kunze, G. Pfister, and H.-H. Sievers Addition of a small curvature reduces power losses across total cavopulmonary connections Ann. Thorac. Surg., June 1, 1999; 67(6): 1760 - 1764. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. J. Lamberti and K. C. Uzark The Fontan operation Ann. Thorac. Surg., May 1, 1999; 67(5): 1523 - 1524. [Full Text] [PDF]
|
|
|
|
|
|
J.A.M. van Son, F.W. Mohr, J. Hambsch, P. Schneider, H. Hess, and G.S. Haas Conversion of atriopulmonary or lateral atrial tunnel cavopulmonary anastomosis to extracardiac conduit Fontan modification Eur. J. Cardiothorac. Surg., February 1, 1999; 15(2): 150 - 158. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Yamagishi, Y. Nakamura, T. Kanazawa, and N. Kawada Extracardiac Direct Total Cavopulmonary Connection Ann. Thorac. Surg., December 1, 1997; 64(6): 1817 - 1819. [Abstract] [Full Text]
|
|
|
|
|
|
S. K. Gandhi, B. I. Bromberg, and C. B. Huddleston Surgical technique and atrial arrhythmias after total cavopulmonary connection J. Thorac. Cardiovasc. Surg., June 1, 1996; 111(6): 1291 - 1292. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
