title: Extracardiac Fontan procedure bridging the vertebra for apico-caval juxtaposition.
abstract: For 5 patients with univentricular heart associated with apico-caval juxtaposition, an extracardiac Fontan procedure was carried out using an artificial graft bridging the vertebra to avoid graft compression by the vertebra and the ventricle. For 2 patients representing nonconfluency between the inferior caval vein and the hepatic vein, a hand-made, shoe-tree graft was used. Postoperatively all patients are doing well without a stenotic venous pathway. This extracardiac operation using an artificial graft bridging the vertebra may be advantageous for univentricular heart associated with apico-caval juxtaposition to prevent a postoperative stenotic venous pathway.
authors.affiliation: Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, Miyakojimaku, Osaka, Japan. ykawahir@mac.com
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Kawahira
authors.forename: Kyoichi
authors.initials: K
authors.lastname: Nishigaki
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Ueno
mesh_terms: D000293:Adolescent; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D002648:Child; D002675:Child, Preschool; D002932:Cineangiography; D003914:Dextrocardia / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D018729:Fontan Procedure / Q000379:methods*; D018610:Heart Bypass, Right; D006330:Heart Defects, Congenital / Q000145:classification / Q000473:pathology / Q000601:surgery*; D006343:Heart Septal Defects / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities*; D006503:Hepatic Veins / Q000002:abnormalities / Q000601:surgery; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D018633:Pulmonary Atresia / Q000601:surgery; D012189:Retrospective Studies; D013904:Thoracic Vertebrae; D018785:Tricuspid Atresia / Q000601:surgery; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000601:surgery*