HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Giovanni Stellin Gaetano Thiene Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Angelini, A. Articles by Thiene, G. Search for Related Content PubMed PubMed Citation Articles by Angelini, A. Articles by Thiene, G.

Ann Thorac Surg 1998;66:659-663
© 1998 The Society of Thoracic Surgeons

---

Supplement

Cavopulmonary anastomosis in staging toward fontan operation: pathologic substrates

^a Department of Pathology, University of Padua, Padua, Italy
^b Department of Cardiovascular Surgery, University of Padua, Padua, Italy

Address reprint requests to Dr Thiene, Istituto di Anatomia Patologica, Via A. Gabelli, 61, 35121 Padova, Italy
e-mail: (cardpath{at}ux1.unipd.it)

Presented at the Workshop on "One and One-Half Ventricle Repairs," Gubbio, Italy, Dec 6–7, 1996.

Abstract

Background. A review of the history and practice of cavopulmonary connections in staging toward Fontan operation and the pathologic experience at Padua University is presented.

Methods. Gross and histologic assessment of the heart-lung blocks removed at autopsy in the cases in which the cause of death could be related to a dysfunction of the cavopulmonary anastomosis were performed.

Results. The main complications were distortion of the intraatrial tunnel and thrombosis of the pulmonary branches of the cavopulmonary anastomosis.

Conclusions. The cavopulmonary anastomosis remains a widespread procedure, both as a preliminary step to a Fontan operation and as an integral part of a Fontan or modified Fontan procedure in all those cardiac malformations characterized by a hypoplastic right or left ventricle in which these ventricles are too small to support the whole circulation.

This article has been cited by other articles:

				C. Mavroudis, C. L. Backer, L. M. Kohr, B. J. Deal, J. Stinios, A. J. Muster, and D. F. Wax Bidirectional Glenn shunt in association with congenital heart repairs: the 1 1/2 ventricular repair Ann. Thorac. Surg., September 1, 1999; 68(3): 976 - 981. [Abstract] [Full Text] [PDF]