title: An Easy Modification of Tube Graft Interposition During Fenestration in Borderline Fontan Circulation.
abstract: One of the options for the management of borderline/failing extracardiac Fontan circulation is surgical creation of an atrial fenestration to decompress the systemic venous compartment and improve cardiac output. Depending on the body surface area of the patient, a 5- to 10-mm polytetrafluoroethylene (PTFE) tube graft can be used. When fenestration is required in a patient with failing Fontan circulation, particularly in redo cases, application of a side-biting clamp may be challenging because of adhesions and a thickened atrial wall. In this article, we present our off-pump technique of atrial-side anastomosis of PTFE graft interposition between an extracardiac Fontan conduit and the atrium without using a side-biting clamp.
authors.affiliation: Department of Cardiovascular Surgery, Acibadem University School of Medicine, Istanbul, Turkey. Electronic address: tayyar.sarioglu@acibadem.edu.tr.
authors.forename: C Tayyar
authors.initials: CT
authors.lastname: Sarioglu
authors.affiliation: Department of Cardiovascular Surgery, Acibadem Bakirkoy Hospital, Istanbul, Turkey.
authors.forename: Emrah
authors.initials: E
authors.lastname: Sisli
authors.affiliation: Department of Cardiovascular Surgery, Acibadem Bakirkoy Hospital, Istanbul, Turkey.
authors.forename: Yusuf Kenan
authors.initials: YK
authors.lastname: Yalcinbas
authors.affiliation: Department of Pediatric Cardiology, Acibadem University School of Medicine, Istanbul, Turkey.
authors.forename: Arda
authors.initials: A
authors.lastname: Saygili
mesh_terms: D001807:Blood Vessel Prosthesis; D018729:Fontan Procedure; D006325:Heart Atria / Q000601:surgery*; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000601:surgery*; D055815:Young Adult
chemical_list: D011138:Polytetrafluoroethylene