An Easy Modification of Tube Graft Interposition During Fenestration in Borderline Fontan Circulation


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Sarioglu C. T. , Sisli E., Yalcinbas Y. K. , Saygili A.

ANNALS OF THORACIC SURGERY, vol.100, no.4, pp.1482-1484, 2015 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 100 Issue: 4
  • Publication Date: 2015
  • Doi Number: 10.1016/j.athoracsur.2015.04.102
  • Title of Journal : ANNALS OF THORACIC SURGERY
  • Page Numbers: pp.1482-1484

Abstract

One of the options for the management of borderline/ failing extracardiac Fontan circulation is surgical creation of an atrial fenestration to decompress the systemic venous compartment and improve cardiac output. Depending on the body surface area of the patient, a 5- to 10-mm polytetrafluoroethylene (PTFE) tube graft can be used. When fenestration is required in a patient with failing Fontan circulation, particularly in redo cases, application of a side-biting clamp may be challenging because of adhesions and a thickened atrial wall. In this article, we present our off-pump technique of atrial-side anastomosis of PTFE graft interposition between an extracardiac Fontan conduit and the atrium without using a side-biting clamp. (C) 2015 by The Society of Thoracic Surgeons