[Extracardiac fontan procedure in adult: report of a case].
We report a case of a 28-year-old female who underwent an extracardiac Fontan procedure. The subject was diagnosed as an atrioventricular septal defect (Rastelli classification: type C), a double outlet right ventricle, pulmonary artery stenosis, a hypoplasty of left ventricle, total anomalous venous return (Darling: Ib + IIb), and atrial flutter. She underwent a Blalock shunt and an aorto-pulmonary shunt at the ages of 3 and 9 years, respectively. Under a total CPB, an extracardiac total cavo-pulmonary connection (TCPC), using a 26 mm Hemashield graft, was completed. The postoperative course was uneventful. The complicated atrial anatomy and atrial arrhythmia indicated TCPC in this adult patient.
Naito
Y
Y
Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan.
Imai
Y
Y
Seo
K
K
Aoki
M
M
Shin-oka
T
T
Hiramatsu
K
K
Ota
J
J
Aiba
J
J
Monma
K
K
D000328:Adult; D001282:Atrial Flutter / Q000150:complications; D006348:Cardiac Surgical Procedures / Q000379:methods; D004310:Double Outlet Right Ventricle / Q000601:surgery; D005260:Female; D018729:Fontan Procedure / Q000379:methods*; D006343:Heart Septal Defects / Q000601:surgery; D006801:Humans; D011666:Pulmonary Valve Stenosis / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*