Venous cannulation for extracorporeal circulation after total cavopulmonary connection with extracardiac conduit.

Interact Cardiovasc Thorac Surg

Department of Cardiovascular Surgery, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.

Published: February 2006

AI Article Synopsis

  • Two cases of venous cannulation were reported following total cavopulmonary connection (TCPC) using an extracardiac conduit.
  • The first case involved a 3-year-old girl with an unusual blockage in the inferior vena cava that required surgical intervention while on cardiopulmonary bypass.
  • The second case featured a 2-year-old girl who needed extracorporeal membrane oxygenation due to low cardiac output syndrome and was successfully decannulated after 39 hours of support.

Article Abstract

We report two cases of venous cannulation after a total cavopulmonary connection (TCPC) with extracardiac conduit. Venous cannulation was performed via side graft sutured to the extracardiac conduit in an end-to-side fashion. The first case was a 3-year-old girl, who suffered from an atypical inferior vena cava obstruction after TCPC. The obstruction region was distal to the anastomosis site of extracardiac conduit and inferior vena cava. She underwent a surgical release of obstruction under cardiopulmonary bypass without circulatory arrest. The second case was a 2-year-old girl, who needed an extracorporeal membrane oxygenation support after TCPC due to severe low cardiac output syndrome. She was decannulated successfully after thirty-nine-hour support.

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http://dx.doi.org/10.1510/icvts.2005.116855DOI Listing

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