Abstract
For 5 patients with univentricular heart associated with apico-caval juxtaposition, an extracardiac Fontan procedure was carried out using an artificial graft bridging the vertebra to avoid graft compression by the vertebra and the ventricle. For 2 patients representing nonconfluency between the inferior caval vein and the hepatic vein, a hand-made, shoe-tree graft was used. Postoperatively all patients are doing well without a stenotic venous pathway. This extracardiac operation using an artificial graft bridging the vertebra may be advantageous for univentricular heart associated with apico-caval juxtaposition to prevent a postoperative stenotic venous pathway.
MeSH terms
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Adolescent
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation*
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Cardiopulmonary Bypass
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Child
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Child, Preschool
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Cineangiography
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Dextrocardia / surgery
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Embolization, Therapeutic
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Female
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Fontan Procedure / methods*
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Heart Bypass, Right
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Heart Defects, Congenital / classification
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Heart Defects, Congenital / pathology
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Heart Defects, Congenital / surgery*
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Heart Septal Defects / surgery
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Heart Ventricles / abnormalities*
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Hepatic Veins / abnormalities
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Hepatic Veins / surgery
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Humans
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Male
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Pulmonary Artery / surgery*
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Pulmonary Atresia / surgery
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Retrospective Studies
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Thoracic Vertebrae
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Tricuspid Atresia / surgery
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Vena Cava, Inferior / abnormalities
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Vena Cava, Inferior / surgery*