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Ann Thorac Surg 2007;84:2134-2135. doi:10.1016/j.athoracsur.2007.04.071
© 2007 The Society of Thoracic Surgeons
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Antonio Amodeo
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How To Do It

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

Antonio Amodeo, MD*, Roberto M. Di Donato, MD

Cardiac Surgery Service of the Medical-Surgical Department of Pediatric Cardiology, Bambino Gesù Pediatric Hospital, Rome, Italy

Accepted for publication April 18, 2007.

* Address correspondence to Dr Amodeo, Dipartimento Medico-Chirurgico di Cardiologia Pediatrica, Ospedale Pediatrico Bambino Gesù, Piazza S. Onofrio, 4, Rome, 00165, Italy (Email: antonioamodeo{at}yahoo.it).

We propose a new surgical technique to manage the presence of bilateral superior venae cavae in single ventricle patients, a recognized risk factor for both bidirectional Glenn anastomosis and Fontan completion. The idea is to convert two small, peripheral and competing bilateral bidirectional cavopulmonary anastomoses into a single, larger, and centrally located cavopulmonary connection. This technique, used in 2 patients, provides a symmetrical distribution of pulmonary blood flow and may, in fact, yield growth of the central pulmonary arteries as well as prevent thrombus formation.




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 J. Thorac. Cardiovasc. Surg.Home page
A. Amodeo, M. Grigioni, S. Filippelli, M. G. Gagliardi, C. Del Gaudio, U. Morbiducci, G. D'Avenio, G. Brancaccio, and R. M. Di Donato
Improved management of systemic venous anomalies in a single ventricle: New rationale
J. Thorac. Cardiovasc. Surg., November 1, 2009; 138(5): 1154 - 1159.
[Abstract] [Full Text] [PDF]


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