Skip to main content
SpringerLink
Log in

Modified Fontan procedure for left atrial isomerism: Alternative technique

  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Anomalous systemic or pulmonary venous connections increase the risk and technical difficulty of the modified Fontan procedure. This report describes an alternative technique of total diversion of systemic venous return to the pulmonary artery in a child with left atrial isomerism, incorporating an extracardiac conduit between the hepatic veins and the right pulmonary artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Giannico S, Corno A, Marino B, et al (1992) Total extracardiac right heart bypass.Circulation 86 (Suppl II):II110-II117

    Google Scholar 

  2. Haas GS, Laks H, Pearl JM (1990) Modified Fontan procedure. In: Karp RB, Kouchoukos NT, Laks H, Wechsler AS (eds)Advances in Cardiac Surgery, vol 1. Year Book, Chicago, pp 111–128

    Google Scholar 

  3. Humes RA, Feldt RH, Porter CJ, et al (1988) The modified Fontan operation for asplenia and polysplenia syndromes.J Thorac Cardiovasc Surg 96:212–218

    Google Scholar 

  4. Julsrud PR, Danielson GK (1990) A modification of the Fontan procedure incorporating anomalies of systemic and pulmonary venous return.J Thorac Cardiovasc Surg 100:233–239

    Google Scholar 

  5. Kawashima Y, Kitamura S, Matsuda H, et al (1984) Total cavopulmonary shunt operation in complex cardiac anomalies: a new operation.J Thorac Cardiovasc Surg 87:74–81

    Google Scholar 

  6. King RM, Puga FJ, Danielson GK, Julsrud PR (1986) Extended indications for the modified Fontan procedure in patients with anomalous systemic and pulmonary venous return. In: Doyle EF, Engle MA, Gersony WM, Rashkind WJ, Talner NS (eds)Pediatric Cardiology, Proceedings of the Second World Congress. Springer-Verlag, New York, pp 523–526

    Google Scholar 

  7. Marcelletti C, Corno A, Giannico S, Marino B (1990) Inferior vena cava-pulmonary artery extracardiac conduit: a new form of right heart bypass.J Thorac Cardiovasc Surg 100:228–232

    Google Scholar 

  8. Mayer JE, Helgason H, Jonas RA, et al (1986) Extending the limits for modified Fontan procedure.J Thorac Cardiovasc Surg 92:1021–1028

    Google Scholar 

  9. Vargas FJ, Mayer JE, Jonas RA, Castaneda AR (1987) Anomalous systemic and pulmonary venous connections in conjunction with atriopulmonary anastomosis (Fontan-Krentzer): technical considerations.J Thorac Cardiovasc Surg 93:523–532

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Children's Hospital of Buffalo, 219 Bryant Street, 1422, Buffalo, NY, USA

    E. R. Rosenkranz

  2. Department of Pediatric Cardiology, The Cleveland Clinic Foundation, Cleveland, OH, USA

    D. J. Murphy Jr.

Authors
  1. E. R. Rosenkranz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. J. Murphy Jr.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rosenkranz, E.R., Murphy, D.J. Modified Fontan procedure for left atrial isomerism: Alternative technique. Pediatr Cardiol 16, 201–203 (1995). https://doi.org/10.1007/BF00794196

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00794196

Key words

Search

Navigation