Abstract
Single ventricle anomalies are characterized by the lack of two completely well-developed ventricles. This chapter elaborates:
1. Anatomy
2. Indication for surgery
3. Approach and cardiopulmonary bypass strategy
4. Bidirectional cavopulmonary anastomosis without cannulation of the superior vena cava (video)
5. Bidirectional cavopulmonary anastomosis with cannulation of the superior vena cava (video)
6. Extracardiac conduit with fenestration (video)
7. Extracardiac conduit connecting the hepatic veins to the left pulmonary artery in situs inversus (video)
8. Decompression of the thoracic duct by diverting the innominate vein into the right atrium in a high risk Fontan patient (video)
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Bidirectional Cavopulmonary Anastomosis without Cannulation of the Superior Vena Cava
Clip 1: Preoperative findings.
Clip 2: Orientation and anatomy.
Clip 3: Cannulation.
Clip 4: Mobilisation of the pulmonary artery.
Clip 5: Transection of the superior vena cava.
Clip 6: Cavopulmonary anastomosis.
Clip 7: Final result.
Clip 8: Postoperative findings.
Fullversion
Bidirectional Cavopulmonary Anastomosis with Cannulation of the Superior Vena Cava
Clip 1: Preoperative findings.
Clip 2: Cannulation.
Clip 3: Transection and closure of the pulmonary artery trunk.
Clip 4: Transection of the superior vena cava.
Clip 5: Cavopulmonary anastomosis.
Clip 6: Final result.
Clip 7: Postoperative findings.
Fullversion
Extracardiac Conduit with Fenestration
Clip 1: Preoperative findings.
Clip 2: Orientation and anatomy.
Clip 3: Cannulation.
Clip 4: Fenestration of the prosthesis.
Clip 5: Transection of the inferior vena cava.
Clip 6: Distal anastomosis.
Clip 7: Fenestration.
Clip 8: Proximal anastomosis.
Clip 9: Final result.
Clip 10: Postoperative findings.
Fullversion
Extracardiac Conduit Connecting the Hepatic Veins with the Left Pulmonary Artery in a Patient with Situs Inversus
Clip 1: Preoperative findings.
Clip 2: Orientation and anatomy.
Clip 3: Cannulation.
Clip 4: Disconnection of the hepatic veins from the atrium.
Clip 5: Distal anastomosis.
Clip 6: Proximal anastomosis.
Clip 7: Final result.
Clip 8: Postoperative findings.
Fullversion
Decompression of the Thoracic Duct by Diverting the Innominate Vein into the Right Atrium in a High-Risk Fontan Patient
Clip 1: Preoperative findings.
Clip 2: Distal anastomosis with the right atrium.
Clip 3: Transection of the innominate vein.
Clip 4: Anastomosis between the innominate vein and the conduit.
Clip 5: Final result.
Clip 6: Postoperative echocardiogram.
Fullversion
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Hraška, V., Murín, P. (2015). Single Ventricle. In: Surgical Management of Congenital Heart Disease II. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44070-4_1
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DOI: https://doi.org/10.1007/978-3-662-44070-4_1
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-44069-8
Online ISBN: 978-3-662-44070-4
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