Thorac Cardiovasc Surg 2007; 55(5): 324-325
DOI: 10.1055/s-2006-924703
Short Communications

© Georg Thieme Verlag KG Stuttgart · New York

Use of a Bifurcated ePTFE Graft for Off-Pump Extracardiac Fontan Completion

O. S. Goksel1 , E. Tireli1 , Z. Sungur2 , B. Harmandar1 , K. Nisli1 , E. Dayıoglu1
  • 1Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
  • 2Department of Anesthesiolgy and Renanimation, Istanbul Medical Faculty, Istanbul University, Istanbul, Turkey
Further Information

Publication History

Received August 3, 2006

Publication Date:
16 July 2007 (online)

Introduction

Total cavopulmonary anastomosis using an extracardiac conduit has gained increasing acceptance in surgery for the palliation of a functional univentricular heart. It has been recently suggested that the extracardiac Fontan procedure (ECF) can be performed without cardiopulmonary bypass (CBP) [[1], [2]]. Off-pump ECF has been reported to result in better hemodynamic parameters in the early postoperative period and to require shorter intubation periods. However, the patient selection criteria for off-pump ECF are still not well defined in spite of a growing body of experience.

References

  • 1 Shiraishi S, Uemura H, Kagisaki K, Koh M, Yagihara T, Kitamura S. The off-pump Fontan procedure by simply cross-clamping the inferior caval vein.  Ann Thorac Surg. 2005;  79 2083-2087
  • 2 McElhinney D B, Petrossian E, Reddy V M, Hanley F L. Extracardiac conduit Fontan procedure without cardiopulmonary bypass.  Ann Thorac Surg. 1998;  66 1826-1828
  • 3 Petrossian E, Reddy V M, McElhinney D B, Akkersdijk G P. et al . Early results of the extracardiac conduit Fontan operation.  J Thorac Cardiovasc Surg. 1999;  117 688-696
  • 4 Kawahira Y, Uemura H, Yagihara T. Impact of the off-pump Fontan procedure on complement activation and cytokine generation.  Ann Thorac Surg. 2006;  81 685-689
  • 5 Tireli E, Basaran M, Kafali E. et al . Peri-operative comparison of different transient external shunt techniques in bidirectional cavo-pulmonary shunt.  Eur J Cardiothorac Surg. 2003;  23 518-524

Dr. Emin Tireli

Department of Cardiovascular Surgery
Istanbul Medical Faculty
University of Istanbul

Millet Cd. 34390 Capa, Fatih

Istanbul

Turkey

Fax: + 90 21 25 34 22 32

Email: emintireli@yahoo.com