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DOI: 10.1055/s-2006-924703
© Georg Thieme Verlag KG Stuttgart · New York
Use of a Bifurcated ePTFE Graft for Off-Pump Extracardiac Fontan Completion
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
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- 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