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Ann Thorac Surg 1995;60:716-718
© 1995 The Society of Thoracic Surgeons

How To Do It

Extracardiac Fontan Operation With Adjustable Communication

Michael D. Black, MD, Jacques A. M. van Son, MD,PhD, Gary S. Haas, MD

Division of Cardiothoracic Surgery, University of California, San Francisco, San Francisco, California

Accepted for publication May 30, 1995.

A modified technique for the Fontan operation is described in which an adjustable communication between the extracardiac conduit (systemic venous chamber) and the right atrium (pulmonary venous chamber) is constructed. Potential advantages of this technique consist of minimization of surgical manipulation of atrial tissue, reduction or elimination of myocardial ischemia, creation of a uniform and stable inferior vena cava-to-pulmonary artery conduit, and increased flexibility and safety in certain high-risk patients such as those with increased pulmonary vascular resistance, pulmonary hypertension, and impaired ventricular function.




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