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Ann Thorac Surg 1997;63:1175-1177
© 1997 The Society of Thoracic Surgeons

Case Report

Extracardiac Fontan Operation Without Cardiopulmonary Bypass

Redmond P. Burke, MD, Jeffrey P. Jacobs, MD, M. Hashmat Ashraf, MD, Abdulwahab Aldousany, MD, Anthony C. Chang, MD

Divisions of Cardiovascular Surgery, and Cardiology, Miami Children's Hospital, Miami, Florida

Accepted for publication November 14, 1996.

Choreoathetosis developed after bilateral bidirectional cavopulmonary anastomosis in a 17-month-old boy with univentricular heart. To avoid exacerbating this neurologic problem, the Fontan operation was later completed without cardiopulmonary bypass. The left cavopulmonary anastomosis maintained pulmonary blood flow. A tube graft was anastomosed to the junction of the right cavopulmonary anastomosis. A femoral vein-to-right atrial shunt was established, the inferior vena cava divided, the cardiac end oversewn, and the noncardiac end anastomosed to the tube graft.


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Invited Commentary
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Ann. Thorac. Surg. 1997 63: 1177. [Extract] [Full Text]



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