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Extracardiac conduit Fontan procedure without cardiopulmonary bypass
D B McElhinney1, E Petrossian, V M Reddy
1Division of Cardiothoracic Surgery, University of California, San Francisco, USA.
The Annals of Thoracic Surgery
|January 6, 1999
Summary
Extracardiac conduit Fontan operations can be performed without cardiopulmonary bypass, offering advantages for single ventricle heart disease palliation. This technique avoids aortic cross-clamping and minimizes extracorporeal circulation time.
Area of Science:
- Pediatric Cardiac Surgery
- Congenital Heart Disease
- Cardiovascular Surgery
Background:
- Functional single ventricle heart disease requires complex surgical palliation.
- The extracardiac conduit Fontan operation is a standard palliative procedure.
- Current techniques often involve cardiopulmonary bypass and aortic cross-clamping.
Purpose of the Study:
- To present a surgical technique for performing the extracardiac conduit Fontan operation without cardiopulmonary bypass.
- To highlight the potential advantages of this modified approach.
Main Methods:
- Detailed description of the surgical technique for extracardiac conduit Fontan completion without cardiopulmonary bypass.
- Focus on avoiding aortic cross-clamping and minimizing extracorporeal circulation.
Main Results:
- Successful implementation of the extracardiac conduit Fontan operation without cardiopulmonary bypass in select patients.
- Demonstration of feasibility and potential benefits, including reduced operative stress.
Conclusions:
- Performing the extracardiac conduit Fontan operation without cardiopulmonary bypass is a viable alternative.
- This approach may offer significant advantages for patients with functional single ventricle heart disease.