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  • Title: The unifocal bilateral bidirectional cavopulmonary anastomosis.
    Author: Amodeo A, Di Donato RM.
    Journal: Ann Thorac Surg; 2007 Dec; 84(6):2134-5. PubMed ID: 18036965.
    Abstract:
    We propose a new surgical technique to manage the presence of bilateral superior venae cavae in single ventricle patients, a recognized risk factor for both bidirectional Glenn anastomosis and Fontan completion. The idea is to convert two small, peripheral and competing bilateral bidirectional cavopulmonary anastomoses into a single, larger, and centrally located cavopulmonary connection. This technique, used in 2 patients, provides a symmetrical distribution of pulmonary blood flow and may, in fact, yield growth of the central pulmonary arteries as well as prevent thrombus formation.
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