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Ann Thorac Surg 2008;85:669-671. doi:10.1016/j.athoracsur.2007.04.060
© 2008 The Society of Thoracic Surgeons
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Roxane McKay
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How To Do It

Extracardiac Fontan With Direct Cavopulmonary Connections

Roxane McKay, MD*, Joseph A. Dearani, MD

Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota

Accepted for publication April 13, 2007.

* Address correspondence to Dr McKay, Division of Cardiovascular Surgery, LeBonheur Children’s Medical Center, 50 North Dunlap, Suite 2598, Memphis, TN 38103 (Email: rmck07{at}yahoo.com).

In order to optimize the Fontan circulation, a technique for direct superior and inferior cavopulmonary connections was devised. Such pathways retain growth potential, obviate suture lines within the right atrium, and avoid prosthetic implants. They thus enable definitive, single-stage ventricular unloading, regardless of patient size or great artery position.






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