title: [Extracardiac fontan procedure in adult: report of a case].
abstract: 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.
authors.affiliation: Department of Pediatric Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Naito
authors.forename: Y
authors.initials: Y
authors.lastname: Imai
authors.forename: K
authors.initials: K
authors.lastname: Seo
authors.forename: M
authors.initials: M
authors.lastname: Aoki
authors.forename: T
authors.initials: T
authors.lastname: Shin-oka
authors.forename: K
authors.initials: K
authors.lastname: Hiramatsu
authors.forename: J
authors.initials: J
authors.lastname: Ota
authors.forename: J
authors.initials: J
authors.lastname: Aiba
authors.forename: K
authors.initials: K
authors.lastname: Monma
mesh_terms: 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*