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Total Extracardiac Right Heart Bypass Using a Polytetrafluoroethylene Graft
Author(s) -
Lemura Junzo,
Oku Hidetaka,
Saga Toshihiko,
Kitayama Hitushi,
Matumoto Terufumi
Publication year - 1997
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1997.tb00085.x
Subject(s) - medicine , fontan procedure , ventricle , cardiology , surgery , pulmonary artery , inferior vena cava , right heart , heart bypass , hemodynamics , heart disease , superior vena cava , clamp , mechanical engineering , clamping , engineering
A bstractBackground : With regard to hemodynamics and late arrhythmias, total cavopulmonary connection has been accepted as a superior technique as compared to Fontan type procedures. However, intra‐atrial baffles for lateral tunnel or conduit remain construction retain some similar disadvantages. Patients and Methods : As an alternative to total cavopulmonary connection, total extracardiac right heart bypass using a polytetrafluoroethylene tube for the inferior vena cava to pulmonary artery connection may obviate some problems. Five patients with complex heart disease necessitating one ventricle repair underwent this procedure successfully. Results : Aortic cross‐clamp time ranged from 0 to 24 minutes (mean = 15.8 min). No case required takedown or an additional step. Although the follow‐up periods have been relatively short (mean = 19 months), all patients are well and no arrhythmic event or thromboembolic episode has occurred. Conclusions : As a simple, safe, and reproducible procedure, total extracardiac right heart bypass is an alternative to Fontan or total cavopulmonary connection procedure.