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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*
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]

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.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2008

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