Bidirectional Inferior Cavopulmonary Anastomosis: Pre-Fontan Interim Palliation

Muhammad Aanish Raees, Driss Mazhar, Jason T. Christensen, David Andres Parra, Stacy Killen, David P. Bichell

Research output: Contribution to journalArticlepeer-review


We report a novel method of constructing an extracardiac bidirectional inferior cavopulmonary anastomosis. Our patient was a 4-month-old girl with complex single-ventricle anatomy and a small-caliber superior vena cava. A direct anastomosis from the inferior vena cava to the main pulmonary artery was constructed by using all autologous tissue. The resulting pathway remained patent and exhibited growth with age. Furthermore, a pulmonary arteriovenous malformation did not develop. This case demonstrates how a bidirectional inferior cavopulmonary anastomosis is feasible in the human and can provide similar hemodynamic results as the bidirectional superior cavopulmonary anastomosis.

Original languageEnglish (US)
Pages (from-to)e329-e331
JournalAnnals of Thoracic Surgery
Issue number4
StatePublished - Oct 2017
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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