Severe coronary sinus dilatation after a modification of the classic Fontan operation: successful resolution with a revision Fontan operation.
Two patients with functional single ventricle and a left superior vena cava, which drained to the coronary sinus, are presented. Each had undergone a Fontan modification that incorporated the coronary sinus into the Fontan pathway. Each developed severe right atrial and coronary sinus dilatation. Revision of a Fontan with an intraatrial lateral tunnel and an extracardiac conduit resulted in improved functional capacity of the patients.
Mock
A L
AL
Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, TX 77030, USA.
Fraser
C D
CD
Dreyer
W J
WJ
Nihill
M R
MR
Bedford
S L
SL
Mott
A R
AR
D000293:Adolescent; D000328:Adult; D002648:Child; D003327:Coronary Disease / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D003331:Coronary Vessels / Q000473:pathology*; D004108:Dilatation, Pathologic / Q000209:etiology; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects*; D006801:Humans; D008297:Male; D012086:Reoperation