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Ann Thorac Surg 2009;88:1367-1370. doi:10.1016/j.athoracsur.2009.02.005
© 2009 The Society of Thoracic Surgeons
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Koichi Sughimoto
Mitsuru Aoki
Yuji Naito
Tadashi Fujiwara
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How To Do It

Novel Modification of Total Cavopulmonary Connection for Isolated Hepatic Vein

Koichi Sughimoto, MD*, Mitsuru Aoki, MD, Yuji Naito, MD, Tadashi Fujiwara, MD

Department of Cardiovascular Surgery, Chiba Children's Hospital, Chiba, Japan

Accepted for publication February 3, 2009.

* Address correspondence to Dr Sughimoto, Chiba Children's Hospital, 579-1 Heta-cho, Midori-Ward, Chiba, 266-0007, Japan (Email: ksughimoto{at}yahoo.co.jp).

A surgeon needs an innovative technique to establish a Fontan circulation for a patient who has a widely separated hepatic vein from the inferior vena cava. The inferior vena cava was redirected by placing a trimmed GoreTex baffle (W. L. Gore and Associates, Flagstaff, AZ) on the internal side of the atrium connecting the hepatic venous flow, and then directing it to the extra-atrium. Another extracardiac half-circumferential GoreTex baffle was sutured to the epicardial atrial wall and to the pulmonary artery opening. This procedure is efficacious for patients with an isolated hepatic vein and has advantages in terms of using less synthetic material in the conduit.




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K.-H. Hsu and C.-I. Chang
Total Cavopulmonary Connection With Innovative Combined Lateral Tunnel and Extracardiac Conduit in Heterotaxy Syndrome
Ann. Thorac. Surg., November 1, 2011; 92(5): 1907 - 1908.
[Abstract] [Full Text] [PDF]


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