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Ann Thorac Surg 2002;74:2195-2197
© 2002 The Society of Thoracic Surgeons

Case report

Extracardiac total cavopulmonary connection using a Y-shaped graft

Takahisa Okano, MDa*, Masaaki Yamagishi, MDa, Keisuke Shuntoh, MDa, Yoshiaki Yamada, MDa, Kyoko Hayashida, MDa, Takeshi Shinkawa, MDa, Nobuo Kitamura, MDa

a Department of Pediatric Cardiovascular Surgery, Children’s Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

Accepted for publication July 1, 2002.

* Address reprint requests to Dr Okano, Department of Pediatric Cardiovascular Surgery, Children’s Hospital, Kyoto Prefectural University of Medicine, Kawaramachi, Hirokoji, Kamikyo-ku, Kyoto 602-8566, Japan
e-mail: tokano{at}koto.kpu-m.ac.jp

We report on 17-year-old Fontan candidate with a seerely distorted central pulmonary artery (PA) who underwent a successful extracardiac total cavopulmonary connection using a Y-shaped bifurcated graft. A nonanatomic pathway from the inferior vena cava to the left PA was constructed and positioned anterior to the ascending aorta. The other arm was used as a conduit between the inferior vena cava and the right PA. All procedures were performed under temporary venous bypass without cardiopulmonary bypass.






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Copyright © 2002 by The Society of Thoracic Surgeons.