title: Concomitant one-stage unifocalization and bidirectional Glenn procedure.
abstract: A concomitant one-stage unifocalization and bidirectional Glenn procedure was performed in a patient with a functionally single ventricle, pulmonary atresia, and major aortopulmonary collateral arteries (MAPCAs). Reconstruction of the absent central pulmonary artery was achieved using the MAPCAs as well as the autologous pericardium. After 1 year, cineangiography and cardiac catheterization showed an excellent result: well-developed pulmonary arteries as well as low pressure in the superior vena cava. To the best of our knowledge, this is the first report of a successful concomitant one-stage unifocalization and bidirectional Glenn procedure.
authors.affiliation: Department of Surgery for Congenital Heart Defects, Heart and Diabetes Center North-Rhine Westfalia, Georgstrasse 11, D-32545, Bad Oeynhausen, Germany. esandica@hdz-nrw.de
authors.forename: Eugen
authors.initials: E
authors.lastname: Sandica
authors.forename: Carsten
authors.initials: C
authors.lastname: Beck
authors.forename: Deniz
authors.initials: D
authors.lastname: Kececioglu
authors.forename: Nikolaus A
authors.initials: NA
authors.lastname: Haas
mesh_terms: D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D002932:Cineangiography / Q000295:instrumentation / Q000379:methods; D003097:Collateral Circulation; D018729:Fontan Procedure / Q000379:methods*; D006352:Heart Ventricles / Q000002:abnormalities / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010496:Pericardium / Q000601:surgery; D011300:Preoperative Care; D011651:Pulmonary Artery / Q000002:abnormalities / Q000601:surgery*; D018633:Pulmonary Atresia / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014683:Vena Cava, Superior