Total cavopulmonary direct anastomosis: a logical approach in selected patients.
A 2.5-year-old boy with a diagnosis of situs solitus, tricuspid atresia, anatomically corrected malposition of the great arteries (S,D,L), left juxtaposition of atrial appendages, and pulmonary stenosis underwent successful total cava-to-pulmonary connection by means of a superior vena cava-to-pulmonary artery end-to-side anastomosis associated with an inferior vena cava-to-pulmonary artery direct anastomosis. Anatomic features and surgical technique are described.
Carotti
A
A
Department of Pediatric Cardiology and Cardiac Surgery, Ospedale Bambino Gesù, Roma, Italy.
Iorio
F S
FS
Amodeo
A
A
Giamberti
A
A
Marianeschi
S
S
Nava
S
S
De Simone
G
G
di Carlo
D C
DC
Marcelletti
C
C
D000015:Abnormalities, Multiple / Q000601:surgery; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery*