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- Title
An alternate technique of performing total cavopulmonary connection without cardiopulmonary bypass.
- Authors
Talwar, Sachin; Tiwari, Anjali; Sengupta, Sanjoy; Choudhury, Arindam; Satsangi, Amitabh; Choudhary, Shiv Kumar
- Abstract
Total cavopulmonary connection (Fontan) without using cardiopulmonary bypass (CPB) may be superior to Fontan on CPB. In the experience of many, a Fontan operation without CPB may be associated with a reduced need for inotropic support, improved outcomes in the postoperative phase including faster time to termination of mechanical ventilatory support, reduced intensive care unit stay, lower volume of pleural and peritoneal effusions, and decreased hospital stay, thereby rendering it more cost-effective. However, the operation is technically more difficult to perform than Fontan on CPB and requires significant modifications of surgical technique and alteration in overall management strategy. In this article, an alternative technique of performing total cavopulmonary connection without CPB is described. Its advantages are briefly discussed.
- Subjects
CONGENITAL heart disease; COST effectiveness; SURGICAL anastomosis; CARDIOTONIC agents; CARDIOPULMONARY bypass; MINIMALLY invasive procedures; HEMODYNAMICS; INTENSIVE care units; BODY fluids; LENGTH of stay in hospitals; POSTOPERATIVE period; CARDIAC surgery
- Publication
Annals of Pediatric Cardiology, 2023, Vol 16, Issue 5, p354
- ISSN
0974-2069
- Publication type
Article
- DOI
10.4103/apc.apc_140_23