Extracardiac total cavopulmonary connection using a Y-shaped graft.
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.
Okano
Takahisa
T
Department of Pediatric Cardiovascular Surgery, Children's Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan. tokano@koto.kpu-m.ac.jp
Yamagishi
Masaaki
M
Shuntoh
Keisuke
K
Yamada
Yoshiaki
Y
Hayashida
Kyoko
K
Shinkawa
Takeshi
T
Kitamura
Nobuo
N
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*