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MMCTS (October 18, 2007). doi:10.1510/mmcts.2006.002394
Copyright © 2007 European Association for Cardio-thoracic Surgery

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Mahesh S. Sharma
Martin Kostolny
Marc R. de Leval
Victor T. Tsang
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Procedure


Surgical approaches for single ventricle palliation

Mahesh S. Sharma, Martin Kostolny, Marc R. de Leval and Victor T. Tsang*

Cardiothoracic Unit, Great Ormond Street Hospital for Children, London WC1N 3JH, UK

* Corresponding author: * Tel.: +44-20-7813 8159; fax: +44-20-7430 1281 tsangv{at}gosh.nhs.uk

In this document, we include under the heading of univentricular heart, complex cardiac malformations which have in common the presence of a functionally single ventricle. The evolution of the surgical management of univentricular hearts is discussed along with the indications, selection criteria, and operative approaches for staged palliation. Herein, we describe our technique for bidirectional cavopulmonary anastomosis and total cavopulmonary connection using an extracardiac conduit.

Key Words: Anastomosis • Bidirectional cavopulmonary • Palliation • Total cavopulmonary connection • Univentricular heart

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Copyright © 2007 by The European Association for Cardio-thoracic Surgery.