title: Extracardiac Fontan in apicocaval juxtaposition.
abstract: Extracardiac total cavopulmonary connection between the inferior vena cava and right pulmonary artery has become the most popular Fontan modification nowadays, yielding good results. However, certain situs anomalies along with systemic venous drainage variations give rise to an issue about the best way for extracardiac conduit routing. Three cases of apicocaval juxtaposition are described. The situs was inversus with the apex and inferior vena cava on the same side (left), whereas the superior vena cava (Glenn) was located on the right in all cases. The literature is revisited and technical options are discussed. Surgery was carried out with excellent short- and midterm results.
authors.affiliation: Pediatric Cardiac Surgery, Hospital General Universitario Gregorio, Marañón, Madrid, Spain giljaurena@gmail.com.
authors.forename: Juan-Miguel
authors.initials: JM
authors.lastname: Gil-Jaurena
authors.affiliation: Pediatric Cardiac Surgery, Hospital General Universitario Gregorio, Marañón, Madrid, Spain.
authors.forename: Ramón
authors.initials: R
authors.lastname: Pérez-Caballero
authors.affiliation: Pediatric Cardiac Surgery, Hospital General Universitario Gregorio, Marañón, Madrid, Spain.
authors.forename: Ana
authors.initials: A
authors.lastname: Pita
authors.affiliation: Pediatric Cardiac Surgery, Hospital General Universitario Gregorio, Marañón, Madrid, Spain.
authors.forename: Mayte
authors.initials: M
authors.lastname: González-López
mesh_terms: D000015:Abnormalities, Multiple; D002648:Child; D002675:Child, Preschool; D003326:Coronary Circulation; D005260:Female; D018729:Fontan Procedure / Q000379:methods*; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000503:physiopathology / Q000601:surgery*; D011652:Pulmonary Circulation; D012857:Situs Inversus / Q000150:complications* / Q000503:physiopathology; D016896:Treatment Outcome; D014682:Vena Cava, Inferior / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*
keywords: Blood vessel prosthesis implantation; congenital; fontan procedure; heart bypass; heart defects; heart septal defects; inferior; right; vena cava