Abstract
As several complications can develop after the atriopulmonary Fontan procedure, total cavopulmonary connection conversion is often considered. We report two cases in which total cavopulmonary connection conversion was performed with a modified Glenn procedure. We used an expanded polytetrafluoroethylene graft between the superior vena cava and extracardiac conduit. This procedure ensures that a balanced hepatic blood flow is perfused into both lungs to avoid pulmonary arteriovenous malformations.
References
Caspi J, Coles JG, Rabinovich M, Cohen D, Trusler GA, Williams WG, et al. Morphologic findings contributing to a failed Fontan procedure: twelve-year experience. Circulation. 1990;82(Suppl. IV):177–82.
Said S, Burkhart H, Schaff H, Cetta F, Driscoll DJ, Li Z, et al. Fontan conversion: identifying the high-risk patient. Ann Thorac Surg. 2014;97:2115–21.
Brown JW, Ruzmetov M, Vijay P, Rodefeld MD, Turrentine MW. Pulmonary arteriovenous malformation in children after the Kawashima operation. Ann Thorac Surg. 2005;80:1592–6.
McElhinney DB, Kreutzer J, Lang P, Mayer JE Jr, del Nido PJ, Lock JE. Incorporation of the hepatic veins into the cavopulmonary circulation in patients with heterotaxy and pulmonary arteriovenous malformations after Kawashima procedure. Ann Thorac Surg. 2005;80:1597–603.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Supplementary material 1 (MP4 6749 kb)
Rights and permissions
About this article
Cite this article
Tatewaki, H., Fujita, S., Kimura, S. et al. Modification of Glenn anastomosis for total cavopulmonary connection conversion after atriopulmonary Fontan. Gen Thorac Cardiovasc Surg 68, 1357–1359 (2020). https://doi.org/10.1007/s11748-020-01407-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-020-01407-1