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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
Roberto M. Di Donato
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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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