Extracardiac Fontan operation without cardiopulmonary bypass.
Choreoathetosis developed after bilateral bidirectional cavopulmonary anastomosis in a 17-month-old boy with univentricular heart. To avoid exacerbating this neurologic problem, the Fontan operation was later completed without cardiopulmonary bypass. The left cavopulmonary anastomosis maintained pulmonary blood flow. A tube graft was anastomosed to the junction of the right cavopulmonary anastomosis. A femoral vein-to-right atrial shunt was established, the inferior vena cava divided, the cardiac end oversewn, and the noncardiac end anastomosed to the tube graft.
Burke
R P
RP
Division of Cardiovascular Surgery, Miami Children's Hospital, Florida 33155-4069, USA.
Jacobs
J P
JP
Ashraf
M H
MH
Aldousany
A
A
Chang
A C
AC
D001264:Athetosis / Q000209:etiology* / Q000517:prevention & control; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D002819:Chorea / Q000209:etiology* / Q000517:prevention & control; D018729:Fontan Procedure / Q000379:methods*; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D012086:Reoperation; D014682:Vena Cava, Inferior / Q000502:physiology / Q000601:surgery; D014683:Vena Cava, Superior / Q000502:physiology / Q000601:surgery