Bidirectional Inferior Cavopulmonary Anastomosis: Pre-Fontan Interim Palliation

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

doi:10.1016/j.athoracsur.2017.04.056

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 journal › Article › peer-review

Abstract

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 language	English (US)
Pages (from-to)	e329-e331
Journal	Annals of Thoracic Surgery
Volume	104
Issue number	4
DOIs	https://doi.org/10.1016/j.athoracsur.2017.04.056
State	Published - Oct 2017
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2017.04.056

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title = "Bidirectional Inferior Cavopulmonary Anastomosis: Pre-Fontan Interim Palliation",

abstract = "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.",

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AU - Parra, David Andres

AU - Killen, Stacy

AU - Bichell, David P.

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AB - 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.

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Bidirectional Inferior Cavopulmonary Anastomosis: Pre-Fontan Interim Palliation

Abstract

ASJC Scopus subject areas

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