[A case of modified Fontan procedure for SLL single ventricular heart with bicaval total occlusion].
We successfully performed a modified Fontan procedure and bidirectional Glenn shunt for a 6-year-old boy with single ventricular heart (SLL). After the operation, the patient suffered from a severe pneumonia, so intravenous catheter had to be inserted for a long time. Post operative angiography revealed bicaval total occlusion. But, inspite of these several complications, this patient is doing well. We believe that if bilateral SVC without communication exist on such a candidate for the Fontan type procedure, LSVC should be anastomosed to PA. The bidirectional Glenn shunt will contribute to save a life of the patient when the systemic venous route was occluded. In addition, the anticoagulation therapy should be taken for the patients underwent the Fontan type procedure.
Department of Cardiovascular Surgery, Kanto Teishin Hospital, Tokyo, Japan.
S
S
Yokoyama
Y
Y
Takeuchi
A
A
Gomi
Y
Y
Okamura
S
S
Torii
M
M
Nagashima
D002648:Child; D006325:Heart Atria / Q000601:surgery; D006352:Heart Ventricles / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011651:Pulmonary Artery / Q000601:surgery; D013927:Thrombosis / Q000209:etiology*; D014684:Venae Cavae