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Asian Cardiovasc Thorac Ann 2002;10:35-38
© 2002 Asia Publishing EXchange Pte Ltd

ORIGINAL CONTRIBUTION

Total Cavopulmonary Connection With Extraatrial Tunnel

Zhang Ren Fu, MD, Gong Han Dong, MD, Zhu Hong Yu, MD, Hou Ming Xiao, MD, Li Xin Min, MD, Wang Jun, MD, Song Heng Chang, MD, Zhang Nan Bin, MD, Tan Li Li, RN

Department of Cardiovascular Surgery Shenyang Northern Hospital Shenyang, Liaoning People's Republic of China
Zhang Ren Fu, MD Tel: 86 24 2390 1822 Fax: 86 24 2390 1822 Department of Cardiovascular Surgery, Shenyang Northern Hospital, 83 Wenhua Road, Shenhe District, Shenyang, Liaoning 110015, People's Republic of China.
Between April 1997 and February 2000, total cavopulmonary connection with an extraatrial tunnel was used to treat 9 cases of complicated congenital heart disease: single ventricle (4), double-outlet right ventricle (3), mitral atresia (1), and tricuspid atresia (1). There was no mortality. One patient developed bacterial endocarditis and required reoperation after 52 days to replace the tunnel. At follow-up ranging from 11 months to 3 years, 3 patients were in New York Heart Association functional class I, and 6 were in class II. One patient with single ventricle had refractory supraventricular tachycardia after a modified Fontan operation 4 years earlier, which was cured by the total cavopulmonary connection procedure. The essential factors for a good outcome include appropriate surgical indication, avoidance of aortic crossclamping and cardiac arrest, and unobstructed anastomosis between the superior and inferior venae cavae and the pulmonary artery.






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