title: Tricuspid Atresia IIc With a Vascular Ring: Novel Approach for Fontan Completion.
abstract: We report a successful Fontan completion in a 22-month-old boy with tricuspid atresia (TA) IIc with a vascular ring. The patient was referred at 1 month of age and was diagnosed with TA IIc using echocardiography. Subsequent 3-dimensional computed tomography revealed a vascular ring. We describe a reconstructive approach for such a heart defect, involving a Damus-Kaye-Stansel (DKS) anastomosis reduction plasty combined with a bidirectional cavopulmonary shunt (BCPS) created by end-to-end suturing of the right superior vena cava (SVC) to the left central pulmonary artery (PA), called the SVC translocation technique.
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan. Electronic address: yocky2001@aol.com.
authors.forename: Shinya
authors.initials: S
authors.lastname: Yokoyama
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
authors.forename: Kozo
authors.initials: K
authors.lastname: Kaneda
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
authors.forename: Shigeo
authors.initials: S
authors.lastname: Nagasaka
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
authors.forename: Tomofumi
authors.initials: T
authors.lastname: Taki
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Yoshida
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
authors.forename: Masafumi
authors.initials: M
authors.lastname: Kudo
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Marui
authors.affiliation: Department of Cardiovascular Surgery, Kinki University School of Medicine Nara Hospital, Nara, Japan.
authors.forename: Noboru
authors.initials: N
authors.lastname: Nishiwaki
mesh_terms: D004452:Echocardiography; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007223:Infant; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D018785:Tricuspid Atresia / Q000000981:diagnostic imaging* / Q000601:surgery*