Total cavopulmonary connection

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Sildenafil before total cavopulmonary connection.

The surgical palliation first described by Fontan and Baudet 1 as Fontan-type operation or total cavopulmonary connection (TCPC) is based on a connection between the systemic venous system and the pulmonary artery tree, excluding the pumping function of the main ventricle. Under these circumstances, the main ventricular chamber acts as a single ventricle, supplying anterograde flow and aspirati...

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Extracardiac conduit in total cavopulmonary connection

Objective: This study evaluates a new technique of an extracardiac conduit in total cavopulmonary connection in complex congenital heart disease. Methods: Between May 2000 and October 2002, 18 extracardiac conduit surgeries were performed. The patients’ weights ranged from 11 to 29 kilograms, the ages ranged from 1 to 12 years old and 10 patients were male. There were eight patients with tricus...

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Establishment of total cavopulmonary connection without use of cardiopulmonary bypass.

OBJECTIVE To minimize deleterious postoperative influences of cardiopulmonary bypass on the pulmonary circulation immediately after the Fontan type procedure, total cavopulmonary connection was achieved without use of cardiopulmonary bypass. METHODS Since April 1996, 15 patients including five patients with visceral heterotaxy, in whom no intracardiac procedure was needed, have undergone this...

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Mechanism and ablation of arrhythmia following total cavopulmonary connection.

BACKGROUND The ability to identify and ablate different arrhythmia mechanisms after the total cavopulmonary connection has not been studied in detail. METHODS AND RESULTS After obtaining Institutional Review Board approval according to institutional guidelines, consecutive patients after a total cavopulmonary connection undergoing electrophysiology study over a 6-year period were included (20...

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Pulmonary and caval flow dynamics after total cavopulmonary connection.

OBJECTIVE To assess flow dynamics after total cavopulmonary connection (TCPC). DESIGN Cross-sectional study. SETTING Aarhus University Hospital. PATIENTS Seven patients (mean age 9 (4-18) years) who had previously undergone a lateral tunnel TCPC mean 2 (0. 3-5) years earlier. INTERVENTIONS Pressure recordings (cardiac catheterisation), flow volume, and temporal changes of flow in the la...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1989

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)34557-x