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Extracardiac conduit versus lateral tunnel cavopulmonary connections at a single institution: impact on outcomes.
J Thorac Cardiovasc Surg
December 2001
Department of Surgery, Division of Cardiovascular Surgery, the Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada.
Objective: To compare outcomes of extracardiac conduit and lateral tunnel Fontan connections in a single institution over a concurrent time period.
Methods: Between January 1994 and September 1998, 60 extracardiac conduit and 47 lateral tunnel total cavopulmonary connections were performed. Age, sex, and weight did not differ between the 2 groups.
Laboratory and clinical experiments were done to measure the pressure in tube drains. It was found that the fluid in drains connected to floor bags exerted a negative pressure equal to the height of the fluid column in the tube. There was no negative pressure when the drain opened into a urostomy bag at wound level.
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