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  • Title: Modified total cavopulmonary shunt as a staged Fontan operation.
    Author: Asai H, Tachibana T, Shingu Y, Kato H, Wakasa S, Matsui Y.
    Journal: Asian Cardiovasc Thorac Ann; 2018 Nov; 26(9):701-703. PubMed ID: 28132535.
    Abstract:
    The left superior vena cava became occluded in an infant with hypoplastic left heart syndrome. After a bidirectional Glenn procedure, he presented with severe oxygen desaturation and right ventricular dysfunction; the left superior vena cava drained into the inferior vena cava through collateral veins. As salvage therapy, we created a modified total cavopulmonary shunt using only autologous tissue in which the right hepatic vein and inferior vena cava drained into the pulmonary artery via a lateral tunnel in the right atrium. Immediately after surgery, his oxygen saturation increased and right ventricular function improved.
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