Modification of Glenn anastomosis for total cavopulmonary connection conversion after atriopulmonary Fontan

As several complications can develop after the atriopulmonary Fontan procedure, total cavopulmonary connection conversion is often considered. We report two cases in which total cavopulmonary connection conversion was performed with a modified Glenn procedure. We used an expanded polytetrafluoroethy...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2020-11, Vol.68 (11), p.1357-1359
Main Authors: Tatewaki, Hideki, Fujita, Satoshi, Kimura, Satoshi, Sonoda, Hiromichi, Shiose, Akira
Format: Article
Language:English
Subjects:
Adult
Blood clots
Cardiac arrhythmia
Cardiac catheterization
Cardiac Surgery
Cardiology
Coronary vessels
Dyspnea
Fontan Procedure - methods
Heart Atria
Heart Defects, Congenital - surgery
Heart Diseases - diagnosis
Heart Diseases - surgery
Humans
Intubation
Lungs
Male
Medicine
Medicine & Public Health
Middle Aged
Pacemakers
Patients
Postoperative Complications - surgery
Pulmonary arteries
Rapid Communication
Surgery
Surgical Oncology
Thoracic Surgery
Thrombosis - diagnosis
Thrombosis - surgery
Tricuspid Atresia - surgery
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Description
Summary:As several complications can develop after the atriopulmonary Fontan procedure, total cavopulmonary connection conversion is often considered. We report two cases in which total cavopulmonary connection conversion was performed with a modified Glenn procedure. We used an expanded polytetrafluoroethylene graft between the superior vena cava and extracardiac conduit. This procedure ensures that a balanced hepatic blood flow is perfused into both lungs to avoid pulmonary arteriovenous malformations.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-020-01407-1