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A modification of the Fontan procedure incorporating anomalies of systemic and pulmonary venous return

1990; Elsevier BV; Volume: 100; Issue: 2 Linguagem: Inglês

10.1016/s0022-5223(19)35563-1

1097-685X

Paul R. Julsrud, Gordon K. Danielson,

Coronary Artery Anomalies

A modification of the Fontan procedure is described in which separation of anomalous systemic and pulmonary venous pathways is accomplished without the need for construction of a complex intraatrial baffle. The feasibility of this simplified surgical technique is predicated on the presence of a left superior vena cava draining to a coronary sinus. The design of the procedure and results in two patients with polysplenia syndrome and a constellation of systemic and pulmonary venous anomalies are presented. Early and late results have been gratifying, and continued exploration of the technique seems warranted.