Modified total cavopulmonary shunt as a staged Fontan operation. (November 2018)

• Record Type: Journal Article
• Authors: Asai, Hidetsugu; Tachibana, Tsuyoshi; Shingu, Yasushige; Kato, Hiroki; Wakasa, Satoru; Matsui, Yoshiro
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 26:Number 9(2018)
• Page Start: 701
• Page End: 703
• Publication Date: 2018-11
• Subjects: Azygos vein -- Fontan procedure -- Heart defects -- congenital -- Hepatic veins -- Vena cava -- inferior -- Vena cava -- superior; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492317692466
• Languages: English
• ISSNs: 0218-4923

Abstract

The left superior vena cava became occluded in an infant with hypoplastic left heart syndrome. After a bidirectional Glenn procedure, he presented with severe oxygen desaturation and right ventricular dysfunction; the left superior vena cava drained into the inferior vena cava through collateral veins. As salvage therapy, we created a modified total cavopulmonary shunt using only autologous tissue in which the right hepatic vein and inferior vena cava drained into the pulmonary artery via a lateral tunnel in the right atrium. Immediately after surgery, his oxygen saturation increased and right ventricular function improved.