Modified Fontan procedure using a retroaortic atriopulmonary anastomosis.
In the Fontan operation and numerous of its modifications for hemodynamic correction of tricuspid atresia, extraanatomical conduits placed anteriorly are inevitably at particular risk of obstruction. This report describes the construction of a direct retroaortic left atriopulmonary anastomosis supplemented by an intraatrial rerouting of the systemic venous return. Hemodynamic considerations and growth potential may render this method suitable for primary intracardiac repair at all ages.
D002675:Child, Preschool; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008297:Male; D008722:Methods; D011651:Pulmonary Artery / Q000601:surgery; D014261:Tricuspid Valve / Q000002:abnormalities / Q000601:surgery*