[Surgical treatment of complex congenital heart diseases with extracardiac conduit total cavopulmonary connection].
OBJECTIVE
To report the experience of extracardiac conduit total cavopulmonary connection (ECTCPC) in surgical treatment of complex congenital heart diseases.


METHODS
From 1998 to 2006, 68 patients underwent ECTCPC for complex congenital heart diseases. Among them, 45 had functional univentricle with transposition of the great artery (TGA) and pulmonary artery valve stenosis, 19 had tricuspid atresia with hypoplasia of right ventricle, 4 had Ebstein's anomaly with hypoplasia of right ventricle. Six had left superior vena cava, 18 had received Bidirectional Glenn operation; Fifty-seven cases were performed under cardiopulmonary bypass with general anesthesia and hypothermia, 11 cases were performed without cardiopulmonary bypass.


RESULTS
There were two death, the mortality was 2.9%. All patients were followed up from 1 to 8 years with no clinical symptoms and have been doing well. The arterial oxygen saturation was 90% - 96%, the cardiac function were in NYHA class I - II.


CONCLUSIONS
The extra cardiac conduit TCPC is a simple procedure and superior to other type of Fontan procedure in most patients.
Wu
Qing-yu
QY
Department of Cardiac Surgery, the First Affiliated Hospital, Tsinghua University, Beijing 100016, China. wuqingyu@mail.tsinghua.edu.cn.
Li
Hong-yin
HY
Zhang
Ming-kui
MK
Chen
Xing-peng
XP
Pan
Guang-yu
GY
Xi
Ji-cheng
JC
Xue
Hui
H
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000379:methods*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D016896:Treatment Outcome