Inferior vena cava-pulmonary artery extracardiac conduit. A new form of right heart bypass

J Thorac Cardiovasc Surg. 1990 Aug;100(2):228-32.


From November 1988 to May 1989, four patients underwent total right heart bypass by means of bidirectional cavopulmonary anastomosis and interposition of an extracardiac conduit from the inferior vena cava to the pulmonary artery. All of them had an uneventful postoperative course, and there have been no early or late deaths. We propose this technique as an alternative surgical option in candidates for a Fontan procedure with (1) hypoplasia or atresia of the left atrioventricular valve, (2) common atrioventricular valve, (3) anomalies of systemic and pulmonary venous return, or (4) auricular juxtaposition.

Publication types

  • Case Reports

MeSH terms

  • Arteriovenous Shunt, Surgical / methods*
  • Blood Vessel Prosthesis*
  • Child, Preschool
  • Female
  • Heart Defects, Congenital / surgery*
  • Humans
  • Infant
  • Male
  • Polyethylene Terephthalates
  • Pulmonary Artery / surgery*
  • Vena Cava, Inferior / surgery*


  • Polyethylene Terephthalates