Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-23T05:40:58.410Z Has data issue: false hasContentIssue false
  • English
  • Français

Creation of an intraatrial tunnel to produce a total cavo-pulmonary connection in a patient with dominant right ventricle, totally anomalous pulmonary venous connection, and pulmonary atresia with non-confluent pulmonary arteries

Published online by Cambridge University Press:  01 December 2008

Koichi Sughimoto ,
Mitsuru Aoki  and
Tadashi Fujiwara
Koichi Sughimoto*
Affiliation:
Chiba Chidlren’s Hospital, Chiba, Japan
Mitsuru Aoki
Affiliation:
Chiba Chidlren’s Hospital, Chiba, Japan
Tadashi Fujiwara
Affiliation:
Chiba Chidlren’s Hospital, Chiba, Japan
*
Correspondence to: Koichi Sughimoto, MD., Department of Cardiovascular Surgery, Chiba Children’s Hospital, 579-1 Heta-cho, Midori-ward, Chiba-city, Chiba-prefecture 266-0007, Japan. Tel: +81-43-292-2111; Fax: +81-43-292-3815; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

The surgical strategy for patients having a functionally single ventricle associated with totally anomalous pulmonary venous connection and pulmonary atresia with non-confluent pulmonary artery has yet to be agreed. We created an intraatrial tunnel to produce a total cavo-pulmonary connection in such a patient, also creating a confluence for the pulmonary arteries. By minimizing the use of the GoreTex patch, the patient was able to discontinue the use of warfarin.

Keywords

Fontan circulationfunctionally univentricular heartdouble inlet ventricle
Type
Brief Report
Information
Cardiology in the Young , Volume 18 , Issue 6 , December 2008 , pp. 641 - 643
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Fontan, F, Baudet, E. Surgical repair of tricuspid atresia. Thorax 1971; 26: 240–248.CrossRefGoogle ScholarPubMed
2.Miyamoto, T, Nagata, N, Miyaji, K, Kanamoto, S, Kitahori, K. Cavopulmonary connection after repair of no confluent pulmonary atresia and total anomalous pulmonary venous connection. J Thorac Cardiovasc Surg 2003; 125: 731–733.CrossRefGoogle ScholarPubMed
3.Gaynor, JW, Collins, MH, Rychik, J, Gaughan, JP, Spray, TL. Long-term outcome of infants with single ventricle and total anomalous pulmonary venous connection. J Thorac Cardiovasc Surg 1999; 117: 506–514.Google Scholar
4.Nakata, S, Imai, Y, Takanashi, Y, et al. A new method for the quantitative standardization of cross-sectional areas of the pulmonary arteries in congenital heart diseases with decreased pulmonary blood flow. J Thorac Cardiovasc Surg 1984; 88: 610–619.CrossRefGoogle ScholarPubMed
5.Mendelsohn, AM, Bove, EL, Lupinetti, FM, Crowley, DC, Lloyd, TR, Beekman, RH 3rd. Central pulmonary artery growth patterns after the bidirectional Glenn procedure. J Thorac Cardiovasc Surg 1994; 107: 1284–1290.CrossRefGoogle ScholarPubMed