Document Detail

Cavopulmonary anastomosis in staging toward Fontan operation: pathologic substrates.
MedLine Citation:
PMID:  9725448     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: A review of the history and practice of cavopulmonary connections in staging toward Fontan operation and the pathologic experience at Padua University is presented. METHODS: Gross and histologic assessment of the heart-lung blocks removed at autopsy in the cases in which the cause of death could be related to a dysfunction of the cavopulmonary anastomosis were performed. RESULTS: The main complications were distortion of the intraatrial tunnel and thrombosis of the pulmonary branches of the cavopulmonary anastomosis. CONCLUSIONS: The cavopulmonary anastomosis remains a widespread procedure, both as a preliminary step to a Fontan operation and as an integral part of a Fontan or modified Fontan procedure in all those cardiac malformations characterized by a hypoplastic right or left ventricle in which these ventricles are too small to support the whole circulation.
A Angelini; C Frescura; G Stellin; G Thiene
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  66     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1998 Aug 
Date Detail:
Created Date:  1998-09-11     Completed Date:  1998-09-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  659-63     Citation Subset:  AIM; IM    
Department of Pathology, University of Padua, Italy.
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MeSH Terms
Anastomosis, Surgical / methods*
Fontan Procedure*
Heart Defects, Congenital / surgery*
Pulmonary Artery / surgery*
Treatment Outcome
Vena Cava, Superior / surgery*

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