Fontan connections made using a lateral tunnel (LT) or extracardiac (EC) pathway were evaluated over time using MR. LT pathways generally increased in diameter while EC pathways did not. Normalized LT and EC diameters decreased relative to somatic growth, while descending aortic diameter increased in parallel with somatic growth.
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Single ventricle and palliative procedures
March 21, 2013
The completion Fontan operation is, as the name implies, the final stage of palliation for patients who have had previous surgery to address various types of single ventricle congenital heart disease.
March 21, 2013
The superior cavopulmonary anastomosis is the first of two operations used in a staged Fontan approach for definitive palliation of functionally single ventricle hearts.
January 18, 2012
The RV-PA conduit or Sano modification, has recently been reintroduced into the Norwood armamentarium. Many centers, however, have been experiencing conduit obstruction with the Sano. This video demonstrates a modification of the technique used for the RV-PA conduit that has reduced the incidence of conduit obstruction at our institution.
September 26, 2006
Drs. Pelletier and Jacobs have given us a beautiful series of drawings illustrating the technique for these two Stage II operations for patients with a single ventricle. It is very interesting that the results of the two different techniques, as shown in Table 1, are nearly identical.