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Updated: May 23, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Alternate method for hybrid Fontan completion.

Ramón Arreola-Torres1, Alberto García-y Otero, Alberto Valencia-Castellanos

  • 1Surgical Research Division, Centro de Investigación Biomédica de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Mexico.

The Annals of Thoracic Surgery
|March 28, 2012
PubMed
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A hybrid Fontan completion using a covered stent eliminated the need for baffle closure devices in a young patient with a univentricular heart. The child demonstrated good growth and stable clinical outcomes post-procedure.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Surgical Innovation

Background:

  • Univentricular heart physiology presents complex surgical challenges.
  • Fontan completion is a critical palliative procedure for single-ventricle physiology.
  • Traditional Fontan procedures often require baffle fenestration and closure devices.

Observation:

  • A 27-month-old female with univentricular heart underwent a hybrid Fontan completion.
  • A large covered stent was utilized to bridge the inferior vena cava to the cavopulmonary anastomosis.
  • This stent was integrated through a pericardial patch within an intracardiac fenestrated tunnel.

Findings:

  • The hybrid approach successfully circumvented the need for an occluder device for baffle closure.

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  • The patient exhibited normal growth and development.
  • Clinical, ultrasonographic, and laboratory results were within acceptable parameters post-procedure.

    • Implications:

    • This technique offers a potential alternative to traditional baffle closure methods in Fontan completion.
    • Minimizing device-related complications could improve long-term outcomes in single-ventricle palliation.
    • Further research may validate this hybrid strategy for broader application in pediatric cardiac surgery.