The impact of extracardiac conduit-total cavopulmonary connection on apicocaval juxtaposition

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Takahisa SakuraiYuichi Ueda

Abstract

Modifications of the Fontan procedure are applied to a wide range of complex congenital heart defects with single ventricle physiology. We examined the pathway and the clinical results of extracardiac conduit-total cavopulmonary connection (EC-TCPC) for a malpositioned heart with apicocaval juxtaposition. Of the 365 patients who underwent EC-TCPC since 1994, 56 patients with a malpositioned heart with apicocaval juxtaposition were included in this retrospective study (group 1). The pathway for the EC was selected after careful consideration of the results of preoperative angiography and computed tomography, as well as intra-operative findings. A concurrent group of 299 patients undergoing EC-TCPC without apicocaval juxtaposition was used as a control group (group 2). The mean follow-up periods for groups 1 and 2 were 5.5 years (range: 0-12 years) and 5.5 years (range: 0-14 years), respectively. The mean age at operation was 4.2±3.2 years and the median size of the conduit was 18 mm (range: 16-20mm). In 30 patients, the conduit was placed between the inferior vena cava (IVC) and the opposite side of the pulmonary artery crossing the vertebra. In another 25 patients, the conduit was positioned behind the ventricle between the IVC...Continue Reading

Citations

Feb 22, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Koichi SughimotoMasanao Ohba
Mar 27, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Masahiro YoshidaVictor O Morell
Feb 19, 2014·The Journal of Thoracic and Cardiovascular Surgery·Chin L PohYves d'Udekem
May 15, 2012·The Annals of Thoracic Surgery·Sei MorizumiYuji Hiramatsu
May 8, 2020·Pediatric Cardiology·Zhenglun Alan WeiMahesh Kappanayil
Aug 9, 2020·The Annals of Thoracic Surgery·Keiichi HiroseKisaburo Sakamoto
Sep 27, 2020·The Annals of Thoracic Surgery·Kenta ImaiHajime Ichikawa

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