title: A modification of the Fontan procedure incorporating anomalies of systemic and pulmonary venous return.
abstract: A modification of the Fontan procedure is described in which separation of anomalous systemic and pulmonary venous pathways is accomplished without the need for construction of a complex intraatrial baffle. The feasibility of this simplified surgical technique is predicated on the presence of a left superior vena cava draining to a coronary sinus. The design of the procedure and results in two patients with polysplenia syndrome and a constellation of systemic and pulmonary venous anomalies are presented. Early and late results have been gratifying, and continued exploration of the technique seems warranted.
authors.affiliation: Section of Cardiovascular Radiology, Mayo Clinic/Foundation, Rochester, Minn. 55905.
authors.forename: P R
authors.initials: PR
authors.lastname: Julsrud
authors.forename: G K
authors.initials: GK
authors.lastname: Danielson
mesh_terms: D000293:Adolescent; D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D002648:Child; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D011667:Pulmonary Veins / Q000002:abnormalities*; D014261:Tricuspid Valve / Q000002:abnormalities*; D014683:Vena Cava, Superior / Q000601:surgery*