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Ann Thorac Surg 1991;51:1026-1030
© 1991 The Society of Thoracic Surgeons

Articles

The fontan procedure: A historical review

L.Douglas Cowgill, MD*

Department of Surgery, Dean Medical Center, Madison, Wisconsin, USA

* Address reprint requests to Dr Cowgill, Department of Surgery, Dean Medical Center, 1313 Fish Hatchery Rd, Madison, WI 53715.

Complete bypass of the right ventricle was first performed successfully and subsequently reported by Fontan and Baudet for patients with bicuspid atresia. By eliminating congenital and surgical shunts, ventricular volume overload and pulmonary hypertension were avoided. A logical extension of its predecessor, the partial right heart bypass procedure introduced by Glenn, the Fontan operation has great application for patients with various forms of univentricular heart. It is one of the historic advances in the surgical treatment of congenital heart disease.




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