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Related Experiment Videos

Fontan with pedicled pericardium.

K Oda1, M Endo, Y Saiki

  • 1Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan.

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|March 31, 1999
PubMed
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Pedicled pericardium offers a viable option for cardiac surgery, successfully used to create a Fontan connection tunnel in an adolescent. This technique may support tunnel growth and eliminate the need for anticoagulant therapy, though long-term monitoring is essential.

Area of Science:

  • Cardiovascular Surgery
  • Biomaterials in Medicine
  • Pediatric Cardiology

Background:

  • The Fontan connection is a palliative surgical procedure for complex congenital heart disease.
  • Autologous pericardium is a recognized biomaterial for cardiovascular reconstruction.
  • Challenges in Fontan surgery include conduit growth and thromboembolic complications.

Observation:

  • A novel application of pedicled pericardium was utilized for an extracardiac lateral tunnel Fontan connection.
  • The patient was an adolescent with complex congenital heart disease requiring Fontan palliation.

Findings:

  • Successful construction of the extracardiac lateral tunnel using pedicled pericardium was achieved.
  • The use of pedicled pericardium is anticipated to facilitate conduit growth, accommodating somatic development.

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  • This approach potentially negates the requirement for long-term anticoagulant therapy.

    • Implications:

    • Pedicled pericardium presents a promising alternative biomaterial for Fontan conduit construction.
    • This technique may improve long-term outcomes and quality of life for pediatric patients undergoing Fontan procedures.
    • Further research and long-term follow-up are crucial to validate the durability and safety of this method.