title: Extracardiac total cavopulmonary connection using a Y-shaped graft.
abstract: We report on 17-year-old Fontan candidate with a severely distorted central pulmonary artery (PA) who underwent a successful extracardiac total cavopulmonary connection using a Y-shaped bifurcated graft. A nonanatomic pathway from the inferior vena cava to the left PA was constructed and positioned anterior to the ascending aorta. The other arm was used as a conduit between the inferior vena cava and the right PA. All procedures were performed under temporary venous bypass without cardiopulmonary bypass.
authors.affiliation: Department of Pediatric Cardiovascular Surgery, Children's Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan. tokano@koto.kpu-m.ac.jp
authors.forename: Takahisa
authors.initials: T
authors.lastname: Okano
authors.forename: Masaaki
authors.initials: M
authors.lastname: Yamagishi
authors.forename: Keisuke
authors.initials: K
authors.lastname: Shuntoh
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Yamada
authors.forename: Kyoko
authors.initials: K
authors.lastname: Hayashida
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shinkawa
authors.forename: Nobuo
authors.initials: N
authors.lastname: Kitamura
mesh_terms: D000293:Adolescent; D001807:Blood Vessel Prosthesis; D018729:Fontan Procedure; D006330:Heart Defects, Congenital / Q000601:surgery; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery*