Document Detail

The physiology of the bidirectional cavopulmonary connection.
MedLine Citation:
PMID:  9725449     Owner:  NLM     Status:  MEDLINE    
This article reviews the indications for the bidirectional cavopulmonary connection and demonstrates its efficacy in reducing mortality for the Fontan procedure. The indications for adding an additional source of pulmonary blood flow to the bidirectional cavopulmonary connection are discussed, but this issue remains controversial. Also unclear is whether the bidirectional cavopulmonary connection promotes symmetric growth of the pulmonary arteries, or whether growth of the left pulmonary artery is disadvantaged. Finally, systemic venous collateralization is a well-recognized sequel after cavopulmonary connection. The clinical implications of this collateralization are reviewed.
R M Freedom; D Nykanen; L N Benson
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Publication Detail:
Type:  Journal Article; 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:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  664-7     Citation Subset:  AIM; IM    
Department of Paediatrics, The Hospital for Sick Children and University of Toronto Faculty of Medicine, Ontario, Canada.
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MeSH Terms
Anastomosis, Surgical / methods*
Child, Preschool
Fontan Procedure / mortality
Heart Defects, Congenital / surgery
Pulmonary Artery / surgery*
Vena Cava, Superior / surgery*

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

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