Fontan Operation in a Case of Single Functional Pulmonary Artery.
- Author:
Joon Bum KIM
1
;
Jeong Jun PARK
;
In Sook PARK
;
Dong Man SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Korea. dmseo@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Fontan opeation;
Single ventricle;
Pulmaonary artresia
- MeSH:
Female;
Follow-Up Studies;
Fontan Procedure*;
Humans;
Polytetrafluoroethylene;
Pulmonary Artery*;
Pulmonary Atresia;
Pulmonary Circulation;
Risk Factors;
Transplants;
Tricuspid Atresia;
Vascular Resistance
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2005;38(4):308-311
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The status of pulmonary circulation is regarded with utmost importance for the successful Fontan operation. The absence of unilateral pulmonary artery leads to decreased pulmonary vascular bed and elevated pulmonary vascular resistance which are the risk factors for Fontan operation. A 9-year-8-month-old female patient diagnosed as tricuspid atresia, pulmonary atresia with absent left pulmonary artery flow, received extracardiac conduit Fontan operation using 18 mm Gore-Tex graft. She was discharged on twenty sixth postoperative day with arterial O2 saturation of 70% on room air. On last follow up at 14 months after the operation, she was clinically well with O2 saturation of 91%.