Total cavopulmonary connection with extraatrial tunnel.
Between April 1997 and February 2000, total cavopulmonary connection with an extraatrial tunnel was used to treat 9 cases of complicated congenital heart disease: single ventricle (4), double-outlet right ventricle (3), mitral atresia (1), and tricuspid atresia (1). There was no mortality. One patient developed bacterial endocarditis and required reoperation after 52 days to replace the tunnel. At follow-up ranging from 11 months to 3 years, 3 patients were in New York Heart Association functional class I, and 6 were in class II. One patient with single ventricle had refractory supraventricular tachycardia after a modified Fontan operation 4 years earlier, which was cured by the total cavopulmonary connection procedure. The essential factors for a good outcome include appropriate surgical indication, avoidance of aortic crossclamping and cardiac arrest, and unobstructed anastomosis between the superior and inferior venae cavae and the pulmonary artery.
Zhang
Ren Fu
RF
Department of Cardiovascular Surgery, Shenyang Northern Hospital, Shenyang, Liaoning, People's Republic of China.
Gong
Han Dong
HD
Zhu
Hong Yu
HY
Hou
Ming Xiao
MX
Li
Xin Min
XM
Wang
Jun
J
Song
Heng Chang
HC
Zhang
Nan Bin
NB
Tan
Li Li
LL
D000293:Adolescent; D019917:Blood Vessel Prosthesis Implantation; D002648:Child; D004310:Double Outlet Right Ventricle / Q000601:surgery; D005260:Female; D018610:Heart Bypass, Right / Q000379:methods*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery; D012189:Retrospective Studies; D014682:Vena Cava, Inferior / Q000601:surgery; D014683:Vena Cava, Superior / Q000601:surgery