title: Extracardiac Fontan operation without cardiopulmonary bypass.
abstract: 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.
authors.affiliation: Division of Cardiovascular Surgery, Miami Children's Hospital, Florida 33155-4069, USA.
authors.forename: R P
authors.initials: RP
authors.lastname: Burke
authors.forename: J P
authors.initials: JP
authors.lastname: Jacobs
authors.forename: M H
authors.initials: MH
authors.lastname: Ashraf
authors.forename: A
authors.initials: A
authors.lastname: Aldousany
authors.forename: A C
authors.initials: AC
authors.lastname: Chang
mesh_terms: 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