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Related Experiment Video

Updated: Feb 28, 2026

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
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Congenitally corrected transposition: complex anatomic repair or Fontan pathway?

Supreet P Marathe1, Matthew I Jones1, Julian Ayer1,2

  • 11 Heart Centre for Children, The Children's Hospital at Westmead, Westmead, NSW, Australia.

Asian Cardiovascular & Thoracic Annals
|June 15, 2017
PubMed
Summary

Congenitally corrected transposition of the great arteries (ccTGA) patients with two adequate ventricles have good outcomes with either anatomic repair or Fontan palliation. Fontan palliation may offer reduced complications and reinterventions.

Keywords:
Congenitally corrected transposition of the great arteriesFontan operationadequate ventriclesanatomic repaircongenital heart disease

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Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Surgery
  • Cardiac Physiology

Background:

  • Congenitally corrected transposition of the great arteries (ccTGA) is a rare congenital heart defect.
  • Successful surgical management aims for excellent long-term outcomes.
  • Both anatomic repair and Fontan palliation have demonstrated efficacy.

Purpose of the Study:

  • To compare outcomes of anatomic repair versus Fontan palliation in patients with ccTGA.
  • To evaluate the impact of surgical strategy on complication and reintervention rates.
  • To identify optimal management based on patient morphology and surgical risk.

Main Methods:

  • Retrospective review of 19 patients with ccTGA undergoing surgical management (1998-2016).
  • Exclusion of physiological repairs and hypoplastic ventricles.
  • Comparison of patient and procedure variables between anatomic repair (Group 1) and Fontan palliation (Group 2).

Main Results:

  • Anatomic repair (12 patients) involved earlier intervention but higher rates of interim procedures (83.3%), complications (75%), and reinterventions (33.3%).
  • Fontan palliation (7 patients) occurred at a later age but showed no reinterventions, deaths, or transplants.
  • Medium-term follow-up revealed no mortality in either group.

Conclusions:

  • Both anatomic repair and Fontan pathway offer favorable medium-term outcomes for ccTGA patients with two adequate ventricles.
  • Fontan palliation may be associated with fewer early complications and reinterventions compared to complex anatomic repair.
  • Individualized surgical strategies are crucial for optimizing outcomes in ccTGA management.