Korean J Thorac Cardiovasc Surg.  2005 Apr;38(4):308-311.

Fontan Operation in a Case of Single Functional Pulmonary Artery

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Korea. dmseo@amc.seoul.kr
  • 2Department of Pediatrics, Asan Medical Center, Ulsan University College of Medicine, Korea.

Abstract

The status of pulmonary circulation is regarded with utmost importance for the successful Fontan operation. The absence of unilateral pulmonary artery leads to decreased pulmonary vascular bed and elevated pulmonary vascular resistance which are the risk factors for Fontan operation. A 9-year-8-month-old female patient diagnosed as tricuspid atresia, pulmonary atresia with absent left pulmonary artery flow, received extracardiac conduit Fontan operation using 18 mm Gore-Tex graft. She was discharged on twenty sixth postoperative day with arterial O2 saturation of 70% on room air. On last follow up at 14 months after the operation, she was clinically well with O2 saturation of 91%.

Keyword

Fontan opeation; Single ventricle; Pulmaonary artresia

MeSH Terms

Female
Follow-Up Studies
Fontan Procedure*
Humans
Polytetrafluoroethylene
Pulmonary Artery*
Pulmonary Atresia
Pulmonary Circulation
Risk Factors
Transplants
Tricuspid Atresia
Vascular Resistance
Polytetrafluoroethylene
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