Sharif Digital Repository

This study considers blood flow in total cavopulmonary connection (TCPC) morphology created in Fontan surgical procedure in patients with a single ventricle heart disease. Ordinary process of TCPC operation reduces pulmonary blood flow pulsatility since the right ventricle being bypassed. This reduction may limit the long term outcome of Fontan circulation. There is an idea of increasing pulmonary flow pulsations by keeping Main Pulmonary Artery (MPA) partially open while it was closed in ordinary TCPC operation. The purpose of the present study is to verify the effects of Antegrade Flow (AF) coming through stenosed MPA on pulmonary flow pulsations. The 3D geometry is reconstructed from CT... 

Single-ventricle anomaly is a hereditary heart disease that is characterized by anatomical malformations. The main consequence of this malformation is desaturated blood flow, which without proper treatment increases the risk of death. The classical treatment is based on a three-stage palliative procedure which should begin from the first few days of patient’s life. The final stage is known as Fontan procedure, in which inferior vena cava is directly connected to pulmonary arteries without going through the ventricle. This connection is called total cavopulmonary connection (TCPC). After surgery, the single ventricle supplies adequate and saturated systemic blood flow to the body; however,...