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Venous cannulation for extracorporeal circulation after total cavopulmonary connection with extracardiac conduit

Department of Cardiovascular Surgery, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan

*Corresponding author. Tel.: +81-92-642 5557; fax: +81-92-642 5566.

E-mail address: tanoue{at}heart.med.kyushu-u.ac.jp (Y. Tanoue).

We report two cases of venous cannulation after a total cavopulmonary connection (TCPC) with extracardiac conduit. Venous cannulation was performed via side graft sutured to the extracardiac conduit in an end-to-side fashion. The first case was a 3-year-old girl, who suffered from an atypical inferior vena cava obstruction after TCPC. The obstruction region was distal to the anastomosis site of extracardiac conduit and inferior vena cava. She underwent a surgical release of obstruction under cardiopulmonary bypass without circulatory arrest. The second case was a 2-year-old girl, who needed an extracorporeal membrane oxygenation support after TCPC due to severe low cardiac output syndrome. She was decannulated successfully after thirty-nine-hour support.

Key Words: Cardiopulmonary bypass; Extracorporeal membrane oxygenation support; Venous cannulations; Total cavopulmonary connection; Fontan