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Ann Thorac Surg 2006;81:1143-1145
© 2006 The Society of Thoracic Surgeons

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Pulmonary Artery Augmentation Using Autologous Vena Cava in Right Heart Bypass Operations

Takeshi Shinkawa, MD * , Masaaki Yamagishi, MD, Keisuke Shuntoh, MD, Keitarou Koushi, MD, Mitsugu Ogawa, MD, Hitoshi Yaku, MD

Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan

Accepted for publication December 23, 2004.

* Address correspondence to Dr Shinkawa, Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi, Hirokoji, Kamigyo-ku, Kyoto, 602-8566 Japan (Email: newriver{at}koto.kpu-m.ac.jp).

We obtained good results in the right heart bypass operation concomitant with the pulmonary arterial augmentation using the vena cava in 7 patients. We report the techniques used in 2 representative patients. The techniques used were a hemi-Fontan procedure with large superior vena caval patches and a bidirectional cavopulmonary shunt with superior vena caval interposition. These techniques have advantages in that the augmented pulmonary arteries have growth potential and low thrombogenicity because the procedures can be performed without the use of prosthetic materials or xenografts, especially in cases in which it is impossible to use the autologous pericardium.




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T. Shinkawa, M. Yamagishi, K. Shuntoh, and H. Yaku
One-stage unifocalization followed by staged Fontan operation
Interactive CardioVascular and Thoracic Surgery, June 1, 2007; 6(3): 416 - 417.
[Abstract] [Full Text] [PDF]


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