[A case report of total cavopulmonary connection following total cavopulmonary shunt].
Kyobu Geka
; 49(5): 405-7, 1996 May.
Article
en Ja
| MEDLINE
| ID: mdl-8992047
ABSTRACT
A 20-year-old man underwent total cavopulmonary shunt for univentricular heart type A (A.L.L.) with hemiazygos connection six years ago. Four years later, his condition deteriorated with easy fatigue and cyanosis. Cardiac catheterization showed recanalization of ligated SVC. Chest CT showed tight adhesion between the chest wall and the ascending aorta. We approached the heart through left anterolateral thoracotomy in order to avoid injury of the aorta and the ventricle during redo median sternotomy. Total cavopulmonary connection with intraatrial conduit was performed under circulatory arrest and retrograde cardioplegia without aortic cross clamp. His postoperative course was satisfactory. Left thoracotomy was useful for total cavopulmonary connection following total cavopulmonary shunt associated with postoperative adhesion.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Puente Cardíaco Derecho
/
Defectos del Tabique Interventricular
Límite:
Adult
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Año:
1996
Tipo del documento:
Article
País de afiliación:
Japón