Clinical application of total cavopulmonary connection with off-pump technique / 中华胸心血管外科杂志

ABSTRACT

Objective: To evaluate the clinical application of total cavopulmonary connection with off-pump technique. Methods: Between May 2000 and December 2002, 9 patients underwent total cavopulmonary connection without cardiopulmonary bypass. The patients were 5 males and 4 females, mean age (10.3?6.4) years, ranged 4～24 years and mean body surface area (0.95?0.35) m 2, range 0.65～1.66 m 2. SpO 2 before operation was (73?6)% (60%～80%). Pulmonary pressure was (12.7?2.4) mmHg (10～16 mmHg) at operation. Results: Patient died after surgery. Chylothorax occurred in 1 patient. 2 patients were reoperated for fenestration between the extracardiac conduit and right atrial during the early postoperative period. All survivors were noncyanotic, the average SpO 2 on breathing air was (94?3)% (89%～97%). On d ischarged. Conclusion: Total cavopulmonary connection with off-pump technique is a useful procedure in management of patients with a functional univentricular heart. It is easy to perform. However, much remains to be studied about this unique physiologic status.