[Application of extracardiac conduit total cavopulmonary anastomosis].
OBJECTIVE
To evaluate the value of application of extracardiac conduit total cavopulmonary anastomosis (TCPA) in complex heart disease.


METHODS
From June 1998 to August 1999, 10 patients with functional univentricular complex congenital heart diseases received TCPA. Eight patients were male and 2 female with a mean age of (9.0 +/- 5.6) years (from 2.5 to 21 years) and a mean weight of (25 +/- 14) kg (from 11 to 45 kg). Associated heart anomalies were TGA, PS or ASD. All surgical procedures were performed under general anesthesia and hypothermia.


RESULTS
No operative and postoperative deaths and all patients were followed up for 6 - 18 months. All patients were clinically asymptomatic. There was no increase of systemic venous pressure. EKG revealed no arrhythmias. The cardiac function was in NYHA class I-II.


CONCLUSIONS
Extracardiac conduit TCPA is a simple procedure and it is superior to others.
Wu
Q
Q
Department of Cardiac Surgery, Cardiovascular Institute and Fuwai Hospital, Peking Union Medical University, Chinese Academy of Medical Science, Beijing 100037, China.
Chu
J
J
Zhu
J
J
Liu
P
P
Zhang
H
H
D000293:Adolescent; D000328:Adult; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D018610:Heart Bypass, Right / Q000379:methods*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male