The Journal of Thoracic and Cardiovascular Surgery
Volume 130, Issue 6 , Pages 1517-1522.e1 , December 2005

Fontan operation with a viable and growing conduit using pedicled autologous pericardial roll: Serial changes in conduit geometry

  • Iki Adachi, MD

      Affiliations

    • Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
    • ,
  • Toshikatsu Yagihara, MD

      Affiliations

    • Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
    • Corresponding Author InformationAddress for reprints: Toshikatsu Yagihara, MD, 5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan
    • ,
  • Koji Kagisaki, MD

      Affiliations

    • Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
    • ,
  • Ikuo Hagino, MD

      Affiliations

    • Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
    • ,
  • Toru Ishizaka, MD

      Affiliations

    • Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
    • ,
  • Masahiro Koh, MD

      Affiliations

    • Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan
    • ,
  • Hideki Uemura, MD

      Affiliations

    • Department of Cardio-Thoracic Surgery, Royal Brompton Hospital, London, United Kingdom
    • ,
  • Soichiro Kitamura, MD

      Affiliations

    • Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan

Received 9 April 2005 ,Revised 9 April 2005 ,Accepted 9 April 2005.

References 

  1. Hvass U , Pansard Y , Bohm G , Depoix JP , Enguerrand D , Worms AM . Bicaval pulmonary connection in tricuspid atresia using an extracardiac tube of autologous pediculated pericardium to bridge inferior vena cava . Eur J Cardiothorac Surg . 1992;6:49–51
  2. Hashimoto K , Kurosawa H , Tanaka K , Yamagishi M , Koyanagi K , Ishii S , et al.  Total cavopulmonary connection without the use of prosthetic material: technical considerations and hemodynamic consequences . J Thorac Cardiovasc Surg . 1995;110:625–632
  3. van Son JA , Reddy M , Hanley FL . Extracardiac modification of the Fontan operation without use of prosthetic material . J Thorac Cardiovasc Surg . 1995;110:1766–1768
  4. Gundry SR , Razzouk AJ , del Rio MJ , Shirali G , Bailey LL . The optimal Fontan connection: a growing extracardiac lateral tunnel with pedicled pericardium . J Thorac Cardiovasc Surg . 1997;114:552–558
  5. Okabe H , Nagata N , Kaneko Y , Kobayashi J , Kanemoto S , Takaoka T . Extracardiac cavopulmonary connection of Fontan procedure with autologous pedicled pericardium without cardiopulmonary bypass . J Thorac Cardiovasc Surg . 1998;116:1073–1075
  6. Uemura H , Yagihara T , Kawahira Y . The extracardiac Fontan procedure using a pedicled pericardial roll without cardiopulmonary bypass . J Thorac Cardiovasc Surg . 1999;117:1046–1047
  7. Woods RK , Dyamenahalli U , Duncan BW , Rosenthal GL , Lupinetti FM . Comparison of extracardiac Fontan techniques: pedicled pericardial tunnel versus conduit reconstruction . J Thorac Cardiovasc Surg . 2003;125:465–471
  8. Uemura H , Yagihara T , Yamashita K , Ishizaka T , Yoshizumi K , Kawahira Y . Establishment of total cavopulmonary connection without use of cardiopulmonary bypass . Eur J Cardiothorac Surg . 1998;13:504–507
  9. Fontan F , Baudet E . Surgical repair of tricuspid atresia . Thorax . 1971;3:240–248
  10. Uemura H , Yagihara T , Kawahira Y , Yoshikawa Y , Kitamura S . Total cavopulmonary connection in children with body weight less than 10 kg . Eur J Cardiothorac Surg . 2000;17:543–549
  11. Guyton RA , Dorsey LM , Silberman MS , Hawkins HK , Williams WH , Hatcher CR . The broadly based pericardial flap (A tissue for atrial wall replacement that grows) . J Thorac Cardiovasc Surg . 1984;87:619–625
  12. Cheung DT , Choo SJ , Grobe AC , Marchion DC , Luo HH , Pang DC , et al.  Behavior of vital and killed autologous pericardium in the descending aorta of sheep . J Thorac Cardiovasc Surg . 1999;118:998–1005

PII: S0022-5223(05)01366-8

doi: 10.1016/j.jtcvs.2005.07.050

The Journal of Thoracic and Cardiovascular Surgery
Volume 130, Issue 6 , Pages 1517-1522.e1 , December 2005

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