An Easy Modification of Tube Graft Interposition During Fenestration in Borderline Fontan Circulation

Sarioglu C. T., ŞİŞLİ E., Yalcinbas Y. K., Saygili A.

ANNALS OF THORACIC SURGERY, vol.100, no.4, pp.1482-1484, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 100 Issue: 4
  • Publication Date: 2015
  • Doi Number: 10.1016/j.athoracsur.2015.04.102
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1482-1484
  • Dokuz Eylül University Affiliated: No


One of the options for the management of borderline/ failing extracardiac Fontan circulation is surgical creation of an atrial fenestration to decompress the systemic venous compartment and improve cardiac output. Depending on the body surface area of the patient, a 5- to 10-mm polytetrafluoroethylene (PTFE) tube graft can be used. When fenestration is required in a patient with failing Fontan circulation, particularly in redo cases, application of a side-biting clamp may be challenging because of adhesions and a thickened atrial wall. In this article, we present our off-pump technique of atrial-side anastomosis of PTFE graft interposition between an extracardiac Fontan conduit and the atrium without using a side-biting clamp. (C) 2015 by The Society of Thoracic Surgeons