Extracardiac total cavopulmonary connection using a Y-shaped graft.

Okano, Takahisa; Yamagishi, Masaaki; Shuntoh, Keisuke; Yamada, Yoshiaki; Hayashida, Kyoko; Shinkawa, Takeshi; Kitamura, Nobuo · Ann Thorac Surg · 2002

case_report · Level V

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Abstract

We report on 17-year-old Fontan candidate with a severely distorted central pulmonary artery (PA) who underwent a successful extracardiac total cavopulmonary connection using a Y-shaped bifurcated graft. A nonanatomic pathway from the inferior vena cava to the left PA was constructed and positioned anterior to the ascending aorta. The other arm was used as a conduit between the inferior vena cava and the right PA. All procedures were performed under temporary venous bypass without cardiopulmonary bypass.

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