The Journal of Thoracic and Cardiovascular Surgery
Volume 124, Issue 3 , Pages 471-478 , September 2002

The beneficial vortex and best spatial arrangement in total extracardiac cavopulmonary connection

Received 5 May 2001 ,Revised 9 August 2001 ,Accepted 12 September 2001.

References 

  1. Fontan F, Baudet E. Surgical repair of tricuspid atresia. Thorax. 1971;26:240–248
  2. de Leval MR, Kilner P, Gewilling M, Bull C, McGoon DC. Total cavopulmonary connection: a logical alternative for complex Fontan operation. J Thorac Cardiovasc Surg. 1988;96:682–695
  3. Puga FG, Chiavarelli M, Hagler DJ. Modifications of the Fontan operation applicable to patients with left atrioventricular valve atresia or single atrioventricular valve. Circulation. 1987;76(3 Pt 2):III53–III60
  4. Marcelletti C, Corno A, Giannico S, Marino B. Inferior vena cava-pulmonary artery extracardiac conduit : a new form of extracardiac bypass. J Thorac Cardiovasc Surg. 1990;100:228–232
  5. Laks H, Ardehali A, Grant PW, Permut L, Aharon A, Kuhn M, et al.  Modification of the Fontan operation: superior vena cava to left pulmonary artery connection and inferior vena cava to right pulmonary artery connection with adjustable atrial septal defect. Circulation. 1995;91:2943–2947
  6. Kim YH, Walker PG, Fontaine AA, Panchal S, Ensley AE, Oshinski J, et al.  Hemodynamics of the Fontan connection: an in-vitro study. J Biomech Eng. 1995;117:423–428
  7. Sharma S, Goudy S, Walker P, Panchal S, Ensley A, Kanter K, et al.  In vitro flow experiments for determination of optimal geometry of total cavopulmonary connection for surgical repair of children with functional single ventricle. J Am Coll Cardiol. 1996;27:1264–1269
  8. Enseley AE, Lynch P, Chatzimavroudis P, Lucas C, Sharma S, Yoganathan A. Toward designing the optimal total cavopulmonary connection: an in vitro study. Ann Thorac Surg. 1999;68:1384–1390
  9. Grigioni M, Amodeo A, Daniele C, D'Avenio G, Formigari R, Di Donato RM. Particle image velocimetry analysis of the flow field in the total cavopulmonary connection. Artif Organs. 2000;24:946–952
  10. Be'eri E, Maier SE, Landzberg J, Chung T, Geva T. In vivo evaluation of Fontan pathway flow dynamics by multidimensional phase-velocity magnetic resonance imaging. Circulation. 1998;98:2873–2882
  11. Sharma S, Enseley AE, Hopkins K, Chatzimavroudis GP, Healy M, Tam VK, et al.  In vivo flow dynamics of the total cavopulmonary connection from three dimensional multislice magnetic resonance imaging. Ann Thorac Surg. 2001;71:889–898
  12. Lardo AC, Webber SA, Friehs I, del Nido PJ, Cape GE. Fluid dynamic comparison of intra-atrial and extracardiac total cavopulmonary connections. J Thorac Cardiovasc Surg. 1996;117:697–704
  13. Fogel MA, Weinberg PM, Hoydu A, Hubbard A, Rychik J, Jacobs M, et al.  The nature of flow in the systemic venous pathway measured by magnetic resonance blood tagging in patients having the Fontan operation. J Thorac Cardiovasc Surg. 1997;114:1032–1041
  14. Fogel MA, Weinberg PM, Rychik J, Hubbard A, Jacobs M, Spray TL, et al.  Caval contribution to flow in the branch pulmonary arteries of Fontan patients with a novel application of magnetic resonance presaturation pulse. Circulation. 1999;99:1215–1221
  15. De Leval MR, Dubini G, Migliavacca F, Jalali H, Camporini G, Redington A, et al.  Use of computational fluid dynamics in the design of surgical procedures: application to the study of competitive flows in cavopulmonary connections. J Thorac Cardiovasc Surg. 1996;111:505–513
  16. Van Haesdonk JM, Mertens L, Sizaire R, Montas G, Purnode B, Daenen W, et al.  Comparison by computerized numeric modeling of energy losses in different Fontan connections. Circulation. 1995;92(9 Suppl):II322–II326
  17. Amodeo A, Galletti L, Marianeschi M, Picardo S, Giannico S, Di Rienzi P, et al.  Extracardiac Fontan operation for complex cardiac anomalies: seven years' experience. J Thorac Cardiovasc Surg. 1997;114:1020–1030
  18. Stamm C, Friesh I, Mayer JE, Zurakoswki D, Triedman JK, Moran AP, et al.  Long-term results of the lateral tunnel Fontan operation. J Thorac Cardiovasc Surg. 2001;12:28–41
  19. Salim MA, DiSessa TG, Arheart KL, Alpert BS. Contribution of superior vena caval flow to total cardiac output in children: a Doppler echocardiographic study. Circulation. 1995;92:1860–1865
  20. Tamir A, Melloul M, Berant M, Horev G, Lubin E, Blieden LC, et al.  Lung perfusion scans in patients with congenital heart defects. J Am Coll Cardiol. 1992;19:383–388
  21. del Torso S, Milanesi O, Bui F, Benetti E, Stellin G, Mazzucco A, et al.  Radionuclide evaluation of lung perfusion after the Fontan procedure. Int J Cardiol. 1988;20:107–116
  22. Morgan VL, Graham TP, Lorenz CH. Alterations in pulmonary artery flow patterns and shear stress determined with three-dimensional phase-contrast magnetic resonance imaging in Fontan patients. J Thorac Cardiovasc Surg. 1998;116:294–304
  23. Grigioni M, Pedrizzetti G, Amodeo A, Daniele C, D'Avenio G, Zovatto L, et al.  A comparison between numerical and PIV studies of the flow through a total cavopulmonary connection (abstract). Int J Artif Organs. 2000;23:579

☆ Address for reprints: Antonio Amodeo, MD, Dipartimento Medico Chirurgico di Cardiologia Pediatrica, Ospedale Bambino Gesù, Piazza S. Onofrio 4, 00165, Rome, Italy (E-mail: antonioamodeo@yahoo.it).

PII: S0022-5223(02)00108-3

doi: 10.1067/mtc.2002.120349

The Journal of Thoracic and Cardiovascular Surgery
Volume 124, Issue 3 , Pages 471-478 , September 2002

Article Tools

* Image Usage & Resolution