Bidirectional Inferior Cavopulmonary Anastomosis: Pre-Fontan Interim Palliation
2017
We report a novel method of constructing an extracardiac bidirectional inferior cavopulmonary anastomosis. Our patient was a 4-month-old girl with complex single-ventricle anatomy and a small-caliber superior vena cava. A direct anastomosis from the inferior vena cava to the main pulmonary artery was constructed by using all autologous tissue. The resulting pathway remained patent and exhibited growth with age. Furthermore, a pulmonary arteriovenous malformation did not develop. This case demonstrates how a bidirectional inferior cavopulmonary anastomosis is feasible in the human and can provide similar hemodynamic results as the bidirectional superior cavopulmonary anastomosis.
Keywords:
- Bidirectional superior cavopulmonary anastomosis
- Hemodynamics
- Main Pulmonary Artery
- Surgery
- Inferior vena cava
- Direct anastomosis
- Cavopulmonary Anastomosis
- Superior vena cava
- Internal medicine
- Cardiology
- Pulmonary arteriovenous malformation
- Medicine
- palliative care
- Pulmonary artery
- Cardiac catheterization
- Double outlet right ventricle
- Fontan procedure
- Correction
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