A new method for implanting a total artifical heart in the patient with a Fontan circulation Ronald K. Woods, MD, PhD, Robert Niebler, MD, Steve Kindel,

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Presentation transcript:

A new method for implanting a total artifical heart in the patient with a Fontan circulation Ronald K. Woods, MD, PhD, Robert Niebler, MD, Steve Kindel, MD, Todd Troshynski, MD, Lyle D. Joyce, MD, PhD, Viktor Hraska, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 157, Issue 1, Pages 353-355 (January 2019) DOI: 10.1016/j.jtcvs.2018.08.082 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Arrangement after resection of the ventricular mass, division of the superior vena cava, and patch reconstruction of the pulmonary artery (A); resection of the lower atrium and atrioventricular valve and resection of the Fontan baffle, note the increased diameter of the atrial cuff (B); and septation of the atrial mass and attachment of the right inflow cuff (C). The Journal of Thoracic and Cardiovascular Surgery 2019 157, 353-355DOI: (10.1016/j.jtcvs.2018.08.082) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Arrangement after attachment of both inflow cuffs (A) and attachment of outflow cuffs and reconstruction of the superior vena cava (B). The Journal of Thoracic and Cardiovascular Surgery 2019 157, 353-355DOI: (10.1016/j.jtcvs.2018.08.082) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Atrial septation for total artifical heart in Fontan circulation. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 353-355DOI: (10.1016/j.jtcvs.2018.08.082) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Dr Woods providing commentary on total artificial heart support for Fontan circulation failure. Video available at: https://www.jtcvs.org/article/S0022-5223(18)32476-0/fulltext. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 353-355DOI: (10.1016/j.jtcvs.2018.08.082) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions