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Ann Thorac Surg 2006;81:1146-1147
© 2006 The Society of Thoracic Surgeons

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Total Cavopulmonary Connection: Open Anastomosis of an Extracardiac Conduit With Vacuum-Assisted Venous Drainage

Ryo Aeba, MD * , Ryohei Yozu, MD, Masanori Morita, CP, Toru Matayoshi, CP

Division of Cardiovascular Surgery, Keio University, Tokyo, Japan

Accepted for publication December 17, 2004.

* Address correspondence to Dr Aeba, Division of Cardiovascular Surgery, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582 Japan (Email: aeba{at}sc.itc.keio.ac.jp).

Insertion of a tube conduit for total cavopulmonary connection is sometimes technically demanding due to the crumpled stump of the inferior vena cava caused by a tourniquet of the inferior vena cava near the division line. Herein we describe an alternative in which the anastomosis is completed during removal of the tourniquet with the application of vacuum-assisted venous drainage. This new technique may alleviate, if not completely eliminate, a concern associated with total cavopulmonary connection with extracardiac conduit in small patients.






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Copyright © 2006 by The Society of Thoracic Surgeons.