An alternate technique of performing total cavopulmonary connection without cardiopulmonary bypass

Author:

Talwar Sachin1,Tiwari Anjali1,Sengupta Sanjoy1,Choudhury Arindam1,Satsangi Amitabh1,Choudhary Shiv Kumar1

Affiliation:

1. Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India

Abstract

ABSTRACT Total cavopulmonary connection (Fontan) without using cardiopulmonary bypass (CPB) may be superior to Fontan on CPB. In the experience of many, a Fontan operation without CPB may be associated with a reduced need for inotropic support, improved outcomes in the postoperative phase including faster time to termination of mechanical ventilatory support, reduced intensive care unit stay, lower volume of pleural and peritoneal effusions, and decreased hospital stay, thereby rendering it more cost-effective. However, the operation is technically more difficult to perform than Fontan on CPB and requires significant modifications of surgical technique and alteration in overall management strategy. In this article, an alternative technique of performing total cavopulmonary connection without CPB is described. Its advantages are briefly discussed.

Publisher

Medknow

Reference16 articles.

1. Early results of the extracardiac conduit Fontan operation;Petrossian;J Thorac Cardiovasc Surg,1999

2. Extracardiac Fontan operation without cardiopulmonary bypass;Tireli;J Cardiovasc Surg (Torino),2006

3. Extra cardiac Fontan without cardiopulmonary bypass:techniques and early results;Talwar;Indian J Thorac Cardiovasc Surg,2013

4. A complete extracorporeal circulation-free approach to patients with functionally univentricular hearts provides superior early outcomes;Talwar;World J Pediatr Congenit Heart Surg,2014

5. Completion of the three-stage Fontan pathway without cardiopulmonary bypass;Mainwaring;World J Pediatr Congenit Heart Surg,2014

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3