ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Ann Thorac Surg 2009;88:1367-1370. doi:10.1016/j.athoracsur.2009.02.005
© 2009 The Society of Thoracic Surgeons
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Koichi Sughimoto
Mitsuru Aoki
Yuji Naito
Tadashi Fujiwara
Right arrow Permission Requests
Google Scholar
Right arrow Articles by Sughimoto, K.
Right arrow Articles by Fujiwara, T.
PubMed
Right arrow Articles by Sughimoto, K.
Right arrow Articles by Fujiwara, T.
Related Collections
Right arrow Congenital - cyanotic

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.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The Society of Thoracic Surgeons.