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Creation of an intraatrial tunnel to produce a total cavo-pulmonary connection in a patient with dominant right ventricle, totally anomalous pulmonary venous connection, and pulmonary atresia with non-confluent pulmonary arteries

Published online by Cambridge University Press:  01 December 2008

Koichi Sughimoto ,
Mitsuru Aoki  and
Tadashi Fujiwara
Koichi Sughimoto*
Affiliation:
Chiba Chidlren’s Hospital, Chiba, Japan
Mitsuru Aoki
Affiliation:
Chiba Chidlren’s Hospital, Chiba, Japan
Tadashi Fujiwara
Affiliation:
Chiba Chidlren’s Hospital, Chiba, Japan
*
Correspondence to: Koichi Sughimoto, MD., Department of Cardiovascular Surgery, Chiba Children’s Hospital, 579-1 Heta-cho, Midori-ward, Chiba-city, Chiba-prefecture 266-0007, Japan. Tel: +81-43-292-2111; Fax: +81-43-292-3815; E-mail: ksughimoto@yahoo.co.jp
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Abstract

The surgical strategy for patients having a functionally single ventricle associated with totally anomalous pulmonary venous connection and pulmonary atresia with non-confluent pulmonary artery has yet to be agreed. We created an intraatrial tunnel to produce a total cavo-pulmonary connection in such a patient, also creating a confluence for the pulmonary arteries. By minimizing the use of the GoreTex patch, the patient was able to discontinue the use of warfarin.

Keywords

Fontan circulationfunctionally univentricular heartdouble inlet ventricle
Type
Brief Report
Information
Cardiology in the Young , Volume 18 , Issue 6 , December 2008 , pp. 641 - 643
Copyright
Copyright © Cambridge University Press 2008

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References

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