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Ann Thorac Surg 2010;89:e38-e40. doi:10.1016/j.athoracsur.2010.02.105
© 2010 The Society of Thoracic Surgeons
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How To Do It

A Novel Innominate Vein-to-Common Atrium Fenestration at Fontan Completion

Thomas S. Mir, MD, PhDa, Florian Arndt, MDa, Patrick von Samson, MDb, Lisa Philipp, MSa, Clivia Schnegg, MDb, Götz Mueller, MDa, Ali Dodge-Khatami, MD, PhDa,*

a Division of Pediatric Cardiology, University Heart Center, University of Hamburg-Eppendorf, Hamburg, Germany
b Division of Congenital Cardiothoracic Surgery, University Heart Center, University of Hamburg-Eppendorf, Hamburg, Germany

Accepted for publication February 17, 2010.

* Address correspondence to Dr Dodge-Khatami, Pediatric Cardiac Surgery, University Heart Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany (Email: a.dodge-khatami{at}uke.de).

With the hypothesis of low thromboembolic risk and higher late postoperative spontaneous closure, a new fenestration technique during extracardiac total cavopulmonary connection was attempted. From 2008 to 2009, 14 consecutive patients received an innominate vein-common atrium 5-mm Gore-Tex (W.L. Gore and Associates, Flagstaff, AZ) graft fenestration. Monitoring was performed by contrast bubble echocardiography at hospital discharge and up to 6 months postoperatively. The technique proved safe and reproducible, did not add to surgical difficulty or time, and provided reliable fenestration of up to at least 3 weeks, with a high rate of spontaneous closure during intermediate follow-up.




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P. Sinha, D. Zurakowski, D. He, C. Yerebakan, V. Freedenberg, J. P. Moak, and R. A. Jonas
Intra/extracardiac fenestrated modification leads to lower incidence of arrhythmias after the Fontan operation
J. Thorac. Cardiovasc. Surg., March 1, 2013; 145(3): 678 - 682.
[Abstract] [Full Text] [PDF]


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