title: Extracardiac total cavopulmonary connection via an atrial and pericardial tunnel.
abstract: We performed extracardiac total cavopulmonary connection using only native tissue in two patients with complex heart disease. The extracardiac lateral tunnel was constructed from pedicled autologous pericardium and atrial wall During follow-up both patients remained in the New York Heart Association functional class I and demonstrated normal sinus rhythm. These modifications not only avoid the risk of potential postoperative complications due to artificial materials, but also allow growth of the conduit.
authors.affiliation: Department of Cardiovascular Surgery, Kinki University, School of Medicine, Osaka-Sayama, Osaka, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Matsumoto
authors.forename: H
authors.initials: H
authors.lastname: Oku
authors.forename: H
authors.initials: H
authors.lastname: Kitayama
mesh_terms: D000792:Angiography; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010496:Pericardium / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D013536:Suture Techniques; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000601:surgery*