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Modified Fontan procedure for left atrial isomerism: alternative technique
1Department of Cardiothoracic Surgery, Children's Hospital of Buffalo, NY 14222, USA.
Pediatric Cardiology
|July 1, 1995
Summary
This study presents a novel surgical technique for complex heart conditions, diverting systemic venous return to the pulmonary artery using an extracardiac conduit. This method offers an alternative for patients with anomalous venous connections undergoing the Fontan procedure.
Area of Science:
- Pediatric Cardiology
- Congenital Heart Disease Surgery
- Vascular Reconstruction
Background:
- Anomalous systemic or pulmonary venous connections complicate the modified Fontan procedure.
- Left atrial isomerism presents unique challenges for surgical palliation.
Observation:
- A novel surgical technique was employed in a pediatric patient with left atrial isomerism.
- The technique involved total diversion of systemic venous return to the pulmonary artery.
Findings:
- An extracardiac conduit was successfully used to connect the hepatic veins to the right pulmonary artery.
- This approach offers an alternative pathway for systemic venous return.
Implications:
- This technique may reduce the risks and technical difficulties associated with the modified Fontan procedure in complex cases.
- It provides a potential solution for managing anomalous venous connections in congenital heart disease.