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Ann Thorac Surg 1992;54:371-373
© 1992 The Society of Thoracic Surgeons

Articles

Extracardiac total cavopulmonary connection

John C. Laschinger, MD*, Richard E. Ringel, MD, Joel I. Brenner, MD, Joseph S. McLaughlin, MD

Division of Cardiothoracic Surgery, Department of Surgery, and Division of Cardiology, Department of Pediatrics University of Maryland Hospital, Baltimore, Maryland USA

Accepted for publication December 5, 1991.

* Address reprint requests to Dr Laschinger, Division of Cardiothoracic Surgery, 22 South Greene St, Baltimore, MD 21201.

We report the case of a 6-year-old child who underwent definitive conversion to the Fontan circulation using a newly conceived operative technique. This new procedure allows the operation to be performed as a totally extracardiac operation and is based on the hydrodynamic principles of the total cavopulmonary connection.




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