ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Freedom, R. M.
Right arrow Articles by Benson, L. N.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Freedom, R. M.
Right arrow Articles by Benson, L. N.

Ann Thorac Surg 1998;66:664-667
© 1998 The Society of Thoracic Surgeons

Supplement

The physiology of the bidirectional cavopulmonary connection

Robert M. Freedom, MDa, David Nykanen, MDa, Lee N. Benson, MDa

a Division of Cardiology, Department of Paediatrics, The Hospital for Sick Children and University of Toronto Faculty of Medicine, Toronto, Ontario, Canada

Address reprint requests to Dr Freedom, The Hospital for Sick Children, Rm 1503C, 555 University Ave, Toronto, ON, Canada M5G 1X8

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

Abstract

This article reviews the indications for the bidirectional cavopulmonary connection and demonstrates its efficacy in reducing mortality for the Fontan procedure. The indications for adding an additional source of pulmonary blood flow to the bidirectional cavopulmonary connection are discussed, but this issue remains controversial. Also unclear is whether the bidirectional cavopulmonary connection promotes symmetric growth of the pulmonary arteries, or whether growth of the left pulmonary artery is disadvantaged. Finally, systemic venous collateralization is a well-recognized sequel after cavopulmonary connection. The clinical implications of this collateralization are reviewed.




This article has been cited by other articles:


Home page
 Eur. J. Cardiothorac. Surg.Home page
C. Schreiber, J. Cleuziou, J. K. Cornelsen, J. Horer, A. Eicken, and R. Lange
Bidirectional cavopulmonary connection without additional pulmonary blood flow as an ideal staging for functional univentricular hearts
Eur. J. Cardiothorac. Surg., September 1, 2008; 34(3): 550 - 555.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
G.-P. Diller, A. Uebing, K. Willson, L. C. Davies, K. Dimopoulos, S. A. Thorne, M. A. Gatzoulis, and D. P. Francis
Analytical Identification of Ideal Pulmonary-Systemic Flow Balance in Patients With Bidirectional Cavopulmonary Shunt and Univentricular Circulation: Oxygen Delivery or Tissue Oxygenation?
Circulation, September 19, 2006; 114(12): 1243 - 1250.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
X.-J. Luo, J. Yan, Q.-Y. Wu, K.-M. Yang, J.-P. Xu, and Y.-L. Liu
Clinical Application of Bidirectional Glenn Shunt with Off-Pump Technique
Asian Cardiovasc Thorac Ann, June 1, 2004; 12(2): 103 - 106.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
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]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1998 by The Society of Thoracic Surgeons.