Total cavopulmonary with extracardiac conduit without cardiopulmonary bypass.

A male child aged 4 years and 5 months, born in Salvador, Bahia. The patient was diagnosed with a complex heart disease with univentricular physiology with following features: main ventricle: the left ventricle; significant pulmonary valve and subvalvar stenosis, partial anomalous connection of right superior pulmonary veins to the superior vena cava, and a wide ostium-secundum-type interatrial communication without previous surgical treatment. The patient underwent total cavopulmonary operation (Fontan type operation) using crimped bovine pericardium extracardiac conduit (size 21) without cardiopulmonary bypass (CPB) support.