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Combined construction of bidirectional cavopulmonary and aortopulmonary shunts as an intermediate stage in the repair of an 18-year-old high-risk Fontan candidate

Published online by Cambridge University Press:  19 August 2008

Masaaki Yamagishi ,
Hiromi Kurosawa  and
Kazuhiro Hashimoto
Masaaki Yamagishi
Affiliation:
From the Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo
Hiromi Kurosawa*
Affiliation:
From the Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo
Kazuhiro Hashimoto
Affiliation:
From the Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo
*
Dr. Hiromi Kurosawa, Department of Cardiovascular Surgery, Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo 105Japan. Tel. 81-3-3433-1111, Ext. 3500; Fax. 81-3-5470-9375.
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Abstract

A combined procedure of a bilateral bidirectional cavopulmonary shunt and a central aortopulmonaiy shunt was performed on an 18-year-old boy with pulmonary atresia. Arterial oxygen saturation was elevated after the combined shunt, whereas the ventricular stroke work was reduced. Such a combined shunt is a useful alternative prior procedure which does not produce ventricular overload in older or higher-risk candidates for the Fontan procedure.

Keywords

Combined shuntbidirectional cavopulmonary shuntaortopulmonary shuntFontan procedure
Type
Brief Reports
Information
Cardiology in the Young , Volume 6 , Issue 1 , January 1996 , pp. 91 - 93
Copyright
Copyright © Cambridge University Press 1996

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References

1. Jonas, RA, Bridges, ND, Hanley, FL, Mayer, JE, Castaneda, AR. Fontan procedure following bidirectional Glenn shunt for high risk patients. J Am Coll Cardiol 1991; 17: 33A.CrossRefGoogle Scholar
2. Bridges, ND, Jonas, RA, Mayer, JE, Flanagan, MF, Keane, JF, Castaneda, AR. Bidirectional cavopulmonary anastomosis as interim palliation for high-risk Fontan candidates. Early results. Circulation 1990; 82(Suppl IV): IV170–IV176.Google ScholarPubMed
3. Lamberti, JJ, Spicer, RL, Waldman, JD, Grehl, TM, Thomson, D, George, L, Kirkpatrick, SE, Mathewson, JW. The bidirectional cavopulmonary shunt. J Thorac Cardiovasc Surg 1990; 100: 22–30.CrossRefGoogle ScholarPubMed
4. Albanese, SB, Carotti, A, Di Donato, RM, Mazzera, E, Troconis, CJ, Giannico, S, Picardo, S, Marcelletti, C. Bidirectional cavopulmonary anastomosis in patients under two years of age. J Thorac Cardiovasc Surg 1994; 104: 904–909.CrossRefGoogle Scholar
5. Gross, GJ, Jonas, RA, Castaneda, AR, Hanley, FL, Mayer, JE, Bridges, ND. Maturational and hemodynamic factors predictive of increased cyanosis following bidirectional cavopulmonary anastomosis. Circulation 1992; 86(Suppl I): 1310. [Abstract]Google Scholar
6. Chang, AC, Hanley, FL, Wernovsky, G, Rosenfeld, HM, Wessel, DL, Jonas, RA, Mayer, JE, Lock, JE, Castaneda, AR. Early bidirectional cavopulmonary shunt in young infants. Postop erative course and early results. Circulation 1993; 88(part 2): 149–158.Google Scholar
7. Yamagishi, M, Kurosawa, H, Hashimoto, K, Suzuki, K, Koyanagi, K, Kuwada, M, Tanaka, K, Ishii, S, Shimizu, S, Nomura, K, Nakamura, Y. The role of plasma endothelin-1 in the Fontan Circulation. J Jpn Soc Pediatr Surgeon 1994; 30: 553.Google Scholar