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Fontan operation through a right lateral thoracotomy to treat Cantrell syndrome with severe ectopia cordis

Nagano Children's Hospital, 3100 Toyoshina, Azumino city, Nagano, 399-8288 Japan

*Corresponding author. Tel.: +81-263-73-6700; fax: +81-263-73-5432.

E-mail address: yamanashimedical{at}yahoo.co.jp (Y. Okamoto).

A median sternotomy would be very difficult for Cantrell syndrome with severe ectopia cordis. For Cantrell syndrome and tricuspid atresia after left modified Blalock-Taussig shunt with severe ectopia cordis, defect in the middle and inferior portion of the sternum, and the closing of ventriculo-peritoneal shunt, we performed extracardiac total cavopulmonary connection through a right lateral thoracotomy after establishing right modified Blalock-Taussig shunt and performing coil embolization of left modified Blalock-Taussig shunt by cardiologists.

Key Words: Congenital heart disease; Interventional catheterization; Univentricular heart