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Interact CardioVasc Thorac Surg 2007;6:416-417. doi:10.1510/icvts.2006.148270
© 2007 European Association of Cardio-Thoracic Surgery
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Masaaki Yamagishi
Hitoshi Yaku
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Case report - Congenital

One-stage unifocalization followed by staged Fontan operation

Takeshi Shinkawaa, Masaaki Yamagishia,*, Keisuke Shuntoha and Hitoshi Yakub

a Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan
b Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan

*Corresponding author. Tel.: +81-75-251-5752; fax: +81-75-257-5910.

E-mail address: myama{at}koto.kpu-m.ac.jp (M. Yamagishi).

We report a successful case of staged Fontan operation for single ventricle, pulmonary atresia, major aortopulmonary collaterals and absent central pulmonary artery. The one-stage unifocalization, concomitant with central pulmonary artery creation by autologous pericardium and modified Blalock-Taussig shunt at 1 month of age as the first palliation, and the Glenn operation and pulmonary arterial augmentation with superior vena caval patch at 9 months of age as the second palliation were performed. Extracardiac conduit Fontan operation was completed at 22 months of age. The pulmonary artery continued developing with increasing pulmonary arterial index and stable pulmonary arterial pressure throughout the clinical course. The one-stage unifocalization in early infancy and the repeated surgical intervention to the pulmonary artery without prosthetic material provided excellent pulmonary arterial growth and Fontan completion.

Key Words: Unifocalization; Pulmonary atresia; Single ventricle; Collateral


Related Article

ICVTS on-line discussion A Issues regarding unifocalization
Sameh I. Sersar and Ahmed A. Jamjoom
Interactive CardioVascular and Thoracic Surgery 2007 6: 417-418. [Full Text] [PDF]



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S. I. Sersar and A. A. Jamjoom
ICVTS on-line discussion A Issues regarding unifocalization
Interactive CardioVascular and Thoracic Surgery, June 1, 2007; 6(3): 417 - 418.
[Full Text] [PDF]


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