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Pulmonary Artery Reconstruction with Donor Aortic Homograft During Cardiac Transplantation in the Failed Fontan Circulation
Author(s) -
Brink Johann,
Saxena Pankaj,
Yong Matthew S.,
McGiffin David
Publication year - 2016
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/jocs.12660
Subject(s) - medicine , fontan procedure , pulmonary artery , transplantation , cardiology , ventricle , hypoplastic left heart syndrome , hemodynamics , heart transplantation , surgery , heart disease
A BSTRACT The advanced surgical management of patients with single ventricle physiology, in particular the hypoplastic left heart syndrome, has resulted in an increased number of patients with a Fontan circulation. In a proportion of these patients, the Fontan circulation will ultimately fail and cardiac transplantation may be required. Their course may be complicated by the hemodynamic consequences of the failing Fontan, multiple previous operations, and the frequent need for complex reconstruction at transplantation. We describe a patient with a failed modified Fontan circulation requiring concomitant pulmonary artery reconstruction and cardiac transplantation and review potential reconstruction techniques. doi: 10.1111/jocs.12660 (J Card Surg 2016;31:65–68)