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Ann Thorac Surg 1985;39:371-375
© 1985 The Society of Thoracic Surgeons

Articles

The Technique of the Fontan Procedure with Posterior Right Atrium—Pulmonary Artery Connection

J. Ernesto Molina, M.D.*, Yang Wang, M.D., Russell Lucas, M.D., James Moller, M.D.

From the Departments of Surgery, Pediatrics, and Medicine, University of Minnesota Hospitals, Minneapolis, MN

Accepted for publication June 20, 1984.

* Address reprint requests to Dr. Molina, University of Minnesota Hospitals, 420 Delaware St SE, Box 472 Mayo, Minneapolis, MN 55455

A detailed technique is described for use of a modified Fontan procedure applicable to transposed as well as nontransposed anatomy. In the modified procedure, the use of circumferential grafting is eliminated, as are the complications arising from an anterior conduit in front of the aorta. Clinical results are reported for 9 young adults undergoing this operation.




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