CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e18-e20
DOI: 10.1055/s-0040-1708528
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Traditional Atriopulmonary Connection Fontan with Excellent Outcome for 32 Years

Yong Zhang
1  Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, Peoples’ Republic of China
,
Minhua Fang
1  Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, Peoples’ Republic of China
,
Zengwei Wang
1  Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, Peoples’ Republic of China
,
Huishan Wang
1  Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, Shenyang, Peoples’ Republic of China
› Author Affiliations
Funding None.
Further Information

Publication History

07 June 2019

06 December 2019

Publication Date:
03 June 2020 (online)

  

Abstract

Although the traditional right atrial–pulmonary artery (RA–PA) Fontan has been replaced by the total cavopulmonary connection, some RA–PA Fontan patients still have good outcome. We report a 37-year-old male who underwent traditional Fontan 32 years ago with the diagnosis of L-transposition of great arteries, subvalvular pulmonary stenosis and cardiac dextroversion. Among the recent CTA, electroconvulsive therapy, catheterization and angiography, pulsatile PA, uniform pulmonary blood, normal PA pressure and resistance were observed in this patient. The traditional RA–PA Fontan may be an alternative surgical procedure.