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Presentation transcript:

Early Results of the “Clamp and Sew” Fontan Procedure Without the Use of Circulatory Support Takeshi Shinkawa, MD, Petros V. Anagnostopoulos, MD, Natalie C. Johnson, BS, Laura Presnell, NP, Naruhito Watanabe, MD, Anil Sapru, MD, Anthony Azakie, MD The Annals of Thoracic Surgery Volume 91, Issue 5, Pages 1453-1459 (May 2011) DOI: 10.1016/j.athoracsur.2010.12.030 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Pulmonary artery to extracardiac conduit anastomosis with patency of Glenn flow to the left lung. The Annals of Thoracic Surgery 2011 91, 1453-1459DOI: (10.1016/j.athoracsur.2010.12.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Inferior vena cava to extracardiac conduit anastomosis with simple cross-clamp of inferior vena cava. The Annals of Thoracic Surgery 2011 91, 1453-1459DOI: (10.1016/j.athoracsur.2010.12.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Angiogram of inferior vena cava to pulmonary artery conduit 16 months after off-pump clamp and sew Fontan procedure showed widely patent extracardiac conduit with smooth blood flow to bilateral branch pulmonary arteries. The Annals of Thoracic Surgery 2011 91, 1453-1459DOI: (10.1016/j.athoracsur.2010.12.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions