Caso 5/2005 - Cavopulmonar total extracardíaco com tubo de pericárdio bovino corrugado sem auxílio de circulação extracorpórea

Croti, Ulisses Alexandre; Braile, Domingo Marcolino; Moscardini, Aírton Camacho; Godoy, Moacir Fernandes de

doi:10.1590/s0102-76382005000300019

Cited by 3 publications

(2 citation statements)

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“…Several types of material have been used in the manufacture of the shunt between the inferior vena cava and pulmonary artery [32][33][34]. In cases of external conduit of this experiment, Dacron tubes treated with bovine collagen were used.…”

Section: Discussionmentioning

confidence: 99%

Operação de Fontan: uma técnica em evolução

Fantini¹,

Gontijo²,

Martins³

et al. 2009

Rev Bras Cir Cardiovasc

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Objectives: Recent experimental flow studies based on angiography and magnetic resonance have shown that total cavopulmonary anastomosis (TCPA) is a valid concept for surgical treatment of many congenital heart defects, but there is not agreement of the best surgical arrangement. The aim of this study is to assess the immediate results with three different techniques of TCPA.Methods: Clinical study of all TCPA performed from January 2005 to July 2008; there were 40 patients, all with previous Glenn anastomosis, with mean age of 6.4 ± 3.2 years. Three different techniques were employed: Group 1 (G1) lateral tunnel, Group 2 (G2) extracardiac conduits, Group 3 (G3) intracardiac conduit directed to the left pulmonary branch. All patients had a fenestration performed and pre-and postoperative variables were assessed.Results: G1 had 11 patients, G2 10 patients and G3 19 patients. Preoperative variables were similar in the 3 groups (P>0.05). Surgical mortality was higher in Groups 1 and 2 (9.1% and 10%) compared to Group 3 (0%) but there was no statistical significance (P=0.3841). Pleural effusion was absent in Group 3 (0%), which was statistically significant in relation to the other groups (P=0.0128). The length of hospital stay was also significantly lower in G3 (8 days) in relation to G1 (18 days) and G2 (13 days) (P=0.0164). Conclusion:Intracardiac TCPA was associated with lower postoperative morbidity and is currently our preferred technique on total cavopulmonary anastomosis. Rev Bras Cir Cardiovasc 2009; 24(4): 463-469 technique in which a olytetrafluoroethylene (PTFE) conduit is placed between the inferior vena cava and pulmonary artery, through the right atrium via the foramen ovale into the left atrium roof, where it is exteriorized and sutured to the trunk or left pulmonary artery branch. This technique allowed to reach the left pulmonary artery branch with a prosthesis smaller, with fewer curves and angles, thus minimizing the presence of inflexible material in the system. The aim of this study was to review the immediate results of patients undergoing the Fontan operation at a single institution with three models of total cavopulmonary anastomosis. FANTINI, FA ET AL -Fontan operation: a technique in evolution METHODS Study designWe performed clinical trial with 40 patients with univentricular physiology undergoing the Fontan operation in Biocor Institute,

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Section: Discussionmentioning

confidence: 99%

Operação de Fontan: uma técnica em evolução

Fantini¹,

Gontijo²,

Martins³

et al. 2009

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

show abstract

“…The Fontan or total cavopulmonary (with extracardiac tube) operation was performed as usually described by our team in previous articles [4,5,6]. There was no fenestration of the tube to the RA.…”

Section: Operationmentioning

confidence: 99%