The off-pump Fontan procedure by simply cross-clamping the inferior caval vein.

@article{Shiraishi2005TheOF,
  title={The off-pump Fontan procedure by simply cross-clamping the inferior caval vein.},
  author={Shuichi Shiraishi and Hideki Uemura and Koji Kagisaki and Masahiro Koh and Toshikatsu Yagihara and Soichiro Kitamura},
  journal={The Annals of thoracic surgery},
  year={2005},
  volume={79 6},
  pages={2083-7; discussion 2087-8}
}
BACKGROUND We previously used the Fontan procedure, when applicable, by placing a temporary bypass from the inferior vena cava to the atrium. Alternatively, we have striven to achieve the procedure even without use of a temporary bypass in patients having collaterals between the inferior vena cava and the superior vena cava, so as to simplify the procedure. The azygous vein was intentionally left patent at the bidirectional Glenn procedure in the most recent 9 patients, expecting reasonable… CONTINUE READING