title: Modified Fontan Conversion: An Alternative Technique for Adult Patients.
abstract: A need persists for Fontan conversion that provides alternative approaches for the individual anatomical challenges occurring in these unusual and complex adult patients. The pulmonary arteries present unique variations and the surgical technique needs to be intraoperatively addressed. We describe a technique for Fontan conversion for performing the distal anastomosis of the extracardiac conduit, allowing adequate matching to the pulmonary arteries and preserving an optimal flow into the Fontan circuit.
authors.affiliation: Paediatric Cardiac Surgery Department, Gregorio Marañón Hospital, Madrid, Spain.
authors.forename: María-Teresa
authors.initials: MT
authors.lastname: González-López
authors.affiliation: Paediatric Cardiac Surgery Department, Gregorio Marañón Hospital, Madrid, Spain.
authors.forename: Ana-María
authors.initials: AM
authors.lastname: Pita-Fernández
authors.affiliation: Paediatric Cardiac Surgery Department, Gregorio Marañón Hospital, Madrid, Spain.
authors.forename: Juan-Miguel
authors.initials: JM
authors.lastname: Gil-Jaurena
authors.affiliation: Paediatric Cardiac Surgery Department, Gregorio Marañón Hospital, Madrid, Spain.
authors.forename: Ramón
authors.initials: R
authors.lastname: Pérez-Caballero-Martínez
authors.affiliation: Cardiac Surgery Department, Gregorio Marañón Hospital, Madrid, Spain.
authors.forename: Diego
authors.initials: D
authors.lastname: Sánchez-Valenzuela
authors.affiliation: Cardiac Surgery Department, Gregorio Marañón Hospital, Madrid, Spain.
authors.forename: Cynthia-Jahavee
authors.initials: CJ
authors.lastname: Las
mesh_terms: D000328:Adult; D005260:Female; D018729:Fontan Procedure / Q000379:methods*; D006801:Humans; D011651:Pulmonary Artery / Q000601:surgery; D013617:Tachycardia, Supraventricular / Q000601:surgery; D018785:Tricuspid Atresia / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery