title: Easy Fenestration Technique for Extracardiac Fontan Operation.
abstract: During an extracardiac conduit type of Fontan operation, fenestration is not always technically easy, particularly when the right atrium is small and located posteriorly. We describe here an easy technique for performing an anastomosis of a polytetrafluoroethylene ringed graft to the atrium for fenestration in the setting of an extracardiac conduit Fontan operation. The surgical technique starts with a purse string suture that is customized to fit the atrium and utilizes a ringed graft that is inserted into the right atrium through the purse string, which is then tied.
authors.affiliation: Department of Cardiovascular Surgery, Hisar Intercontinental Hospital, Istanbul, Turkey rturkoz@yahoo.com.
authors.forename: Rıza
authors.initials: R
authors.lastname: Türköz
authors.affiliation: Department of Cardiovascular Surgery, Hisar Intercontinental Hospital, Istanbul, Turkey.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Çelik
authors.affiliation: Department of Anesthesia, Hisar Intercontinental Hospital, Istanbul, Turkey.
authors.forename: Eda
authors.initials: E
authors.lastname: Palaoğlu
authors.affiliation: Department of Anesthesia, Hisar Intercontinental Hospital, Istanbul, Turkey.
authors.forename: Ahu
authors.initials: A
authors.lastname: Baysal
authors.affiliation: Department of Pediatric Cardiology, Hisar Intercontinental Hospital, Istanbul, Turkey.
authors.forename: Nimet
authors.initials: N
authors.lastname: Cındık
authors.affiliation: Department of Pediatric Cardiology, Hisar Intercontinental Hospital, Istanbul, Turkey.
authors.forename: Gülendam
authors.initials: G
authors.lastname: Koçak
mesh_terms: D000714:Anastomosis, Surgical; D018729:Fontan Procedure / Q000379:methods*; D006325:Heart Atria / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*
chemical_list: D011138:Polytetrafluoroethylene
keywords: extracardiac Fontan; fenestration; polytetrafluoroethylene ringed graft