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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 1999 August;40(4):543-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Extracardiac total cavopulmonary connection via an atrial and pericardial tunnel

Matsumoto T., Oku H., Kitayama H.

From the Department of Cardiovascular Surgery Kinki University, School of Medicine, Osaka-Sayama, Osaka, Japan


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We per­formed extra­car­diac ­total cav­o­pul­mo­nary con­nec­tion ­using ­only ­native tis­sue in two ­patients ­with com­plex ­heart dis­ease. The extra­car­diac lat­er­al tun­nel was cons­truct­ed ­from ped­i­cled autol­o­gous per­i­car­di­um and atri­al ­wall. During fol­low-up ­both ­patients ­remained in the New York Heart Association functional class I and dem­on­strat­ed nor­mal ­sinus ­rhythm. These mod­ifi­ca­tions not ­only ­avoid the ­risk of poten­tial post­op­er­a­tive com­pli­ca­tions due to artif­i­cial mate­ri­als, but ­also ­allow ­growth of the con­duit.

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