Document Detail


Staged Fontan operation for children with heterotaxy syndrome, bilateral ductus arteriosus, and nonconfluent pulmonary artery.
MedLine Citation:
PMID:  20628849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report two cases of successful Fontan operation in children with heterotaxy syndrome associated with univentricular physiology and absent and nonconfluent central pulmonary arteries with both distal pulmonary arteries directly connected to the ipsilateral ductus arteriosus. After unilateral systemic-pulmonary shunt, the central pulmonary artery was reconstructed with a polytetrafluoroethylene prosthetic graft concomitantly with bidirectional cavopulmonary shunt. Finally, extracardiac total cavopulmonary connection was performed as an off-pump procedure. Children with bilateral ductus arteriosus and a nonconfluent pulmonary artery with univentricular physiology present a particular challenge in regard to completing Fontan operations. Careful attention should be directed at ensuring balanced growth of the bilateral distal pulmonary arteries. When planning reconstruction of the central pulmonary artery with a prosthesis, late reconstruction may be beneficial, as it enables utilization of a larger-caliber graft, obviating the need for replacement during a subsequent Fontan operation.
Authors:
Shinya Kanemoto; Masakazu Abe; Yukiko Ban; Seigo Gomi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-07-14
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  58     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  336-40     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Tsukuba University Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki 305-8576, Japan. s-kane@mail.hosp.tsukuba.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / physiopathology,  radiography,  surgery*
Blood Vessel Prosthesis Implantation
Digestive System Surgical Procedures
Ductus Arteriosus, Patent / physiopathology,  radiography,  surgery*
Fontan Procedure*
Heart Defects, Congenital / physiopathology,  radiography,  surgery*
Hemodynamics
Humans
Infant, Newborn
Male
Pulmonary Artery / abnormalities,  physiopathology,  radiography,  surgery*
Syndrome
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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