A novel innominate vein-to-common atrium fenestration at Fontan completion.
With the hypothesis of low thromboembolic risk and higher late postoperative spontaneous closure, a new fenestration technique during extracardiac total cavopulmonary connection was attempted. From 2008 to 2009, 14 consecutive patients received an innominate vein-common atrium 5-mm Gore-Tex (W.L. Gore and Associates, Flagstaff, AZ) graft fenestration. Monitoring was performed by contrast bubble echocardiography at hospital discharge and up to 6 months postoperatively. The technique proved safe and reproducible, did not add to surgical difficulty or time, and provided reliable fenestration of up to at least 3 weeks, with a high rate of spontaneous closure during intermediate follow-up.
Mir
Thomas S
TS
Division of Pediatric Cardiology, University Heart Center, University of Hamburg-Eppendorf, Hamburg, Germany.
Arndt
Florian
F
von Samson
Patrick
P
Philipp
Lisa
L
Schnegg
Clivia
C
Mueller
Götz
G
Dodge-Khatami
Ali
A
D001807:Blood Vessel Prosthesis; D016121:Brachiocephalic Veins / Q000601:surgery*; D002302:Cardiac Output; D002648:Child; D002675:Child, Preschool; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000379:methods*; D006085:Graft Survival; D006325:Heart Atria / Q000601:surgery*; D018610:Heart Bypass, Right / Q000379:methods*; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008297:Male; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000517:prevention & control; D011446:Prospective Studies; D013923:Thromboembolism / Q000517:prevention & control; D016896:Treatment Outcome
D011138:Polytetrafluoroethylene