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An alternative technique for Fontan completion in patients with widely separated connections of the inferior systemic veins to the atrial mass

Published online by Cambridge University Press:  30 August 2016

Giuseppe Pomè ,
Faker Ghedira  and
Eitan Keizman
Giuseppe Pomè
Affiliation:
Policlinico San Donato Milanese, IRCCS, Milano, Italy
Faker Ghedira
Affiliation:
Service de Chirurgie Cardio-vasculaire, Faculté de Médecine de Tunis, Université de Tunis El Manar, CHU La Rabta, 1007 Tunis, Tunisie
Eitan Keizman*
Affiliation:
Pediatric Cardiology Clinic of Pediatrics, University of Pavia, Pavia, Italy
*
Correspondence to: E. Keizman, Pediatric Cardiology Clinic of Pediatrics, Univeristy of Pavia, Viale Golgi 19, Pavia 27100, Italy. Tel: +39 331 962 0250; Fax: +39 038 250 2558; E-mail: kadmoney5@gmail.com
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Abstract

Several surgical approaches for completion of a total cavopulmonary connection have been established for patients with anomalies of systemic venous connection in association with a functionally univentricular heart. We report an alternative technique designed to address the problem of widely separated inferior systemic veins, in which two extracardiac conduits were used. This technique was performed on three patients and yielded excellent short-term results, allowing us to operate on a beating heart with no need for cardioplegic arrest and aortic cross-clamping.

Keywords

Fontan completionatrial isomerismseparated inferior systemic venous drainage
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 2 , March 2017 , pp. 398 - 401
Copyright
© Cambridge University Press 2016 

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References

1. Nakata, T, Fujimoto, Y, Hirose, K, et al. Fontan completion in patients with atrial isomerism and separate hepatic venous drainage. Eur J Cardiothorac Surg 2010; 37: 1264–1270.Google Scholar
2. Ota, N, Fujimoto, Y, Murata, M, et al. Improving outcomes of the surgical management of right atrial isomerism. Ann Thorac Surg 2012; 93: 832–838.Google Scholar
3. Bartz, PJ, Driscoll, DJ, Dearani, JA, et al. Early and late results of the modified Fontan operation for heterotaxy syndrome 30 years of experience in 142 patients. J Am Coll Cardiol 2006; 48: 2301–2305.Google Scholar
4. Lee, JR, Lee, C, Chang, JM, Bae, EJ, Noh, CI. Modified extracardiac Fontan in a patient with separate hepatic venous drainage. Ann Thorac Surg 2002; 73: 992–993.Google Scholar
5. Sughimoto, K, Aoki, M, Naito, Y, Fujiwara, T. Novel modification of total cavopulmonary connection for isolated hepatic vein. Ann Thorac Surg 2009; 88: 1367–1370.Google Scholar
6. Kim, SJ, Kim, WH, Lim, HG, Lee, CH, Lee, JY. Improving results of the Fontan procedure in patients with heterotaxy syndrome. Ann Thorac Surg 2006; 82: 1245–1251.Google Scholar
7. Balaji, S, Daga, A, Bradley, DJ, et al. An international multicenter study comparing arrhythmia prevalence between the intracardiac lateral tunnel and the extracardiac conduit type of Fontan operations. J Thorac Cardiovasc Surg 2014; 148: 576–581.Google Scholar
8. Miyazaki, A, Sakaguchi, H, Ohuchi, H, et al. The clinical course and incidence of supraventricular tachyarrhythmias after extra-cardiac conduit Fontan procedures in relation to an atrial situs. Circ J 2011; 75: 413–420.Google Scholar