Skip to main content
NCBI home page
The Texas Heart Institute Journal logoLink to The Texas Heart Institute Journal
. 1983 Jun;10(2):183–187.

Fontan Operation: Modification of the Valve Position in Conduit with Brief Review of the Literature

Adib H Sabbagh 1, Macario Riveros 1, James M Fritz 1, Jose Fernandez 1
PMCID: PMC341634  PMID: 15227135

Abstract

A Fontan operation was performed on a 10-year-old child for correction of tricuspid atresia. A xenograft, valved conduit was used to establish continuity between the right atrium and the small right ventricle. Atrial and ventricular septal defects were repaired with Dacron patches. Two hours postoperatively, the patient suffered a cardiac arrest secondary to hypoxia and was successfully resuscitated. Partial recurrence of a right-to-left shunt at the atrial level necessitated the patient's return to surgery.

The insufficient conduit was replaced and the leaking patches were resutured. The conduit was shortened to one-third its length, and the conduit valve was repositioned directly at the proximal end, over the right atriotomy. Ten months postoperatively, the patient remains in stable condition.

Full text

PDF
183

Images in this article

185Image
on p.185
185Image
on p.185

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Annecchino F. P., Fontan F., Chauve A., Quaegebeur J. Palliative reconstruction of the right ventricular outflow tract in tricuspid atresia: a report of 5 patients. Ann Thorac Surg. 1980 Apr;29(4):317–321. doi: 10.1016/s0003-4975(10)61478-6. [DOI] [PubMed] [Google Scholar]
  2. Behrendt D. M., Rosenthal A. Cardiovascular status after repair by Fontan procedure. Ann Thorac Surg. 1980 Apr;29(4):322–330. doi: 10.1016/s0003-4975(10)61479-8. [DOI] [PubMed] [Google Scholar]
  3. Björk V. O., Olin C. L., Bjarke B. B., Thorén C. A. Right atrial-right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg. 1979 Mar;77(3):452–458. [PubMed] [Google Scholar]
  4. Bowman F. O., Jr, Malm J. R., Hayes C. J., Gersony W. M., Ellis K. Pulmonary atresia with intact ventricular septum. J Thorac Cardiovasc Surg. 1971 Jan;61(1):85–95. [PubMed] [Google Scholar]
  5. Doty D. B., Marvin W. J., Jr, Lauer R. M. Modified Fontan procedure. Methods to achieve direct anastomosis of right atrium to pulmonary artery. J Thorac Cardiovasc Surg. 1981 Mar;81(3):470–475. [PubMed] [Google Scholar]
  6. Fontan F., Baudet E. Surgical repair of tricuspid atresia. Thorax. 1971 May;26(3):240–248. doi: 10.1136/thx.26.3.240. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gale A. W., Danielson G. K., McGoon D. C., Mair D. D. Modified Fontan operation for univentricular heart and complicated congenital lesions. J Thorac Cardiovasc Surg. 1979 Dec;78(6):831–838. [PubMed] [Google Scholar]
  8. Harris J. P., Stewart S., Anderson V., Mitchell M. L., Manning J. A. Coronary artery injury by a valved external conduit. Ann Thorac Surg. 1981 Mar;31(3):271–273. doi: 10.1016/s0003-4975(10)60941-1. [DOI] [PubMed] [Google Scholar]
  9. Kreutzer G. O., Vargas F. J., Schlichter A. J., Laura J. P., Suarez J. C., Coronel A. R., Kreutzer E. A. Atriopulmonary anastomosis. J Thorac Cardiovasc Surg. 1982 Mar;83(3):427–436. [PubMed] [Google Scholar]
  10. Kreutzer G., Galíndez E., Bono H., De Palma C., Laura J. P. An operation for the correction of tricuspid atresia. J Thorac Cardiovasc Surg. 1973 Oct;66(4):613–621. [PubMed] [Google Scholar]
  11. Kyger E. R., 3rd, Reul G. J., Jr, Sandiford F. M., Wukasch D. C., Hallman G. L., Cooley D. A. Surgical palliation of tricuspid atresia. Circulation. 1975 Oct;52(4):685–690. doi: 10.1161/01.cir.52.4.685. [DOI] [PubMed] [Google Scholar]
  12. Marcelletti C., Mazzera E., Olthof H., Sebel P. S., Düren D. R., Losekoot T. G., Becker A. E. Fontan's operation: an expanded horizon. J Thorac Cardiovasc Surg. 1980 Nov;80(5):764–769. [PubMed] [Google Scholar]
  13. Murray G. F., Herrington R. T., Delany D. J. Tricuspid atresia: corrective operation without a bioprosthetic valve. Ann Thorac Surg. 1977 Mar;23(3):209–214. doi: 10.1016/s0003-4975(10)64109-4. [DOI] [PubMed] [Google Scholar]
  14. Rao P. S. A unified classification for tricuspid atresia. Am Heart J. 1980 Jun;99(6):799–804. doi: 10.1016/0002-8703(80)90632-8. [DOI] [PubMed] [Google Scholar]
  15. Sade R. M., Riopel D. A., Taylor A. B. Orthoterminally corrective operation in the presence of severe hypoplasia of a pulmonary artery. J Thorac Cardiovasc Surg. 1980 Sep;80(3):424–426. [PubMed] [Google Scholar]
  16. Shemin R. J., Merrill W. H., Pfeifer J. S., Conkle D. M., Morrow A. G. Evaluation of right atrial-pulmonary artery conduits for tricuspid atresia. Experimental study. J Thorac Cardiovasc Surg. 1979 May;77(5):685–690. [PubMed] [Google Scholar]
  17. Tandon R., Edwards J. E. Tricuspid atresia. A re-evaluation and classification. J Thorac Cardiovasc Surg. 1974 Apr;67(4):530–542. [PubMed] [Google Scholar]

Articles from Texas Heart Institute Journal are provided here courtesy of Texas Heart Institute

RESOURCES