Easy Fenestration Technique for Extracardiac Fontan Operation.

World J Pediatr Congenit Heart Surg

Department of Pediatric Cardiology, Hisar Intercontinental Hospital, Istanbul, Turkey.

Published: October 2015

AI Article Synopsis

  • The Fontan operation can be challenging when creating a fenestration, especially with a small, posterior right atrium.
  • A new, straightforward technique is presented for connecting a polytetrafluoroethylene ringed graft to the atrium for this purpose.
  • The method involves using a customized purse string suture to secure the graft, making the surgical process easier.

Article Abstract

During an extracardiac conduit type of Fontan operation, fenestration is not always technically easy, particularly when the right atrium is small and located posteriorly. We describe here an easy technique for performing an anastomosis of a polytetrafluoroethylene ringed graft to the atrium for fenestration in the setting of an extracardiac conduit Fontan operation. The surgical technique starts with a purse string suture that is customized to fit the atrium and utilizes a ringed graft that is inserted into the right atrium through the purse string, which is then tied.

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Source
http://dx.doi.org/10.1177/2150135115576928DOI Listing

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