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Fontan-type operation for correcting complex congenital defects in a criss-cross heart
V P Podzolkov1, A V Ivanitsky, O A Makhachev
1Bakulev Institute of Cardiovascular Surgery, USSR Academy of Medical Sciences, Moscow.
Pediatric Cardiology
|April 1, 1990
Insights
Criss-cross heart, a complex congenital defect, requires precise diagnosis for optimal surgical treatment. All three reported cases successfully underwent the Fontan-type procedure for complex congenital heart disease.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Surgery
Background:
- Criss-cross heart is a rare congenital heart anomaly characterized by discordant atrioventricular and ventriculoarterial connections.
- Severe and complex forms present significant surgical challenges, necessitating advanced diagnostic and therapeutic strategies.
Observation:
- This report details three pediatric cases of criss-cross heart with intricate anatomical variations.
- Accurate preoperative identification of morphologic abnormalities was crucial for surgical planning.
Findings:
- All three patients underwent successful surgical correction utilizing a Fontan-type procedure.
- The Fontan procedure proved effective in managing these complex congenital heart defects.
Implications:
- Precise preoperative diagnosis is paramount for successful surgical outcomes in complex congenital heart disease.
- The Fontan-type procedure is a viable and effective surgical option for selected cases of criss-cross heart.
- This case series highlights the importance of tailored surgical approaches for rare congenital cardiac malformations.
Abstract:
Three cases of criss-cross heart with severe and complex congenital defects are reported. Precise preoperative diagnosis of the morphologic abnormalities made it possible to choose an optimal method of surgical treatment: all patients successfully underwent a Fontan-type surgical procedure.