Creation of an intraatrial tunnel to produce a total cavo-pulmonary connection in a patient with dominant right ventricle, totally anomalous pulmonary venous connection, and pulmonary atresia with non-confluent pulmonary arteries.
The surgical strategy for patients having a functionally single ventricle associated with totally anomalous pulmonary venous connection and pulmonary atresia with non-confluent pulmonary artery has yet to be agreed. We created an intraatrial tunnel to produce a total cavo-pulmonary connection in such a patient, also creating a confluence for the pulmonary arteries. By minimizing the use of the GoreTex patch, the patient was able to discontinue the use of warfarin.
Chiba Chidlren's Hospital, Chiba, Japan. ksughimoto@yahoo.co.jp
Koichi
K
Sughimoto
Mitsuru
M
Aoki
Tadashi
T
Fujiwara
D054087:Atrial Septum / Q000601:surgery / Q000637:transplantation; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000601:surgery; D005260:Female; D018729:Fontan Procedure; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D011651:Pulmonary Artery / Q000601:surgery*; D018633:Pulmonary Atresia / Q000601:surgery*; D011667:Pulmonary Veins / Q000002:abnormalities / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome