title: Intracardiac total cavopulmonary connection in an asplenic adult male 12 years after Glenn procedure for total anomalous pulmonary venous return (1b).
abstract: Although indications for a Fontan procedure have broadened, some patients, in the past, were ineligible for the Fontan completion after a Glenn procedure and thus suffered the limitations of the Glenn procedure-namely desaturation, arrhythmia and reduced quality of life. If examined more closely, however, completion may yet be feasible for such patients. We present here a complex case of asplenia, dextrocardia and total anomalous pulmonary venous return (1b) where the Fontan procedure was successfully completed 12 years after the Glenn procedure. A unique surgical strategy incorporating intra-atrial total cavopulmonary connection and atrioventricular valve repair contributed to our success.
authors.affiliation: Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan. ksughimoto@yahoo.co.jp
authors.forename: Koichi
authors.initials: K
authors.lastname: Sughimoto
authors.forename: Kozo
authors.initials: K
authors.lastname: Matsuo
authors.forename: Masanao
authors.initials: M
authors.lastname: Ohba
mesh_terms: D000328:Adult; D018729:Fontan Procedure / Q000379:methods*; D059446:Heterotaxy Syndrome / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D012086:Reoperation; D013997:Time Factors