What is it about?
Patients with a functionally univentricular heart go towards the total cavopulmonary anastomosis, or the Fontan operation. A group of patients is also associated with heterotaxy syndrome and complex systemic venous connection to the heart. We present a new technique for Fontan completion in this group of patients- the Bilateral Fontan, or the Pome' Procedure (2016).
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Why is it important?
The Pome' Procedure, unlike most of the other techniques applied for Fontan completion in patients with widely separated connections of the inferior systemic veins to the atrial mass, enables us to operated on a perfused, vented, and beating heart with no need for aortic cross clamp. This significance advantage has some possible important consequences on patients' natural history.
Perspectives
Personally, working with the one of the most skilled surgeons I have ever got the chance to watch, doctor Giuseppe Pome' has succeeded in innovating a surgical technique with a profound thinking over the children's future. The idea of implicating two extracardiac conduits to complete the Fontan circulation, unlike never done (or for the least - reported) before, may offer this complex patients a better opportunity to prolong their functioning univentricular circulation.
Dr Eitan Keizman
Read the Original
This page is a summary of: An alternative technique for Fontan completion in patients with widely separated connections of the inferior systemic veins to the atrial mass, Cardiology in the Young, August 2016, Cambridge University Press,
DOI: 10.1017/s1047951116001311.
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