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Adriano Carotti
Fiore S. Iorio
Antonio Amodeo
Alessandro Giamberti
Stefano Marianeschi
Duccio C. Di Carlo
Carlo Marcelletti
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Ann Thorac Surg 1993;56:963-964
© 1993 The Society of Thoracic Surgeons

Articles

Total cavopulmonary direct anastomosis: A logical approach in selected patients

Adriano Carotti, MD, Fiore S. Iorio, MD, Antonio Amodeo, MD, Alessandro Giamberti, MD, Stefano Marianeschi, MD, Simonetta Nava, MD, Giuseppe De Simone, MD, Duccio C. Di Carlo, MD, Carlo Marcelletti, MD*

Department of Pediatric Cardiology and Cardiac Surgery, Ospedale Bambino Gesú, Roma, Italy

Accepted for publication November 25, 1992.

* Address reprint requests to Dr Marcelletti, DMCCP, Ospedale Bambino Gesú, Piazza S. Onofrio, 4, 00165 Roma, Italy.

A 2.5-year-old boy with a diagnosis of situs solitus, tricuspid atresia, anatomically corrected malposition of the great arteries {S,D,L}, left juxtaposition of atrial appendages, and pulmonary stenosis underwent successful total cavopulmonary connection by means of a superior vena cavato-pulmonary artery end-to-side anastomosis associated with an inferior vena cava-to-pulmonary artery direct anastomosis. Anatomic features and surgical technique are described.




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