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Ann Thorac Surg 1991;52:676-679
© 1991 The Society of Thoracic Surgeons

Articles

The Damus-Fontan procedure

John J. Lamberti, MD*, Richard D. Mainwaring, MD, J.Deane Waldman, MD1, Lily George, MD, James W. Mathewson, MD, Robert L. Spicer, MD, Stanley E. Kirkpatrick, MD

Divisions of Cardiac Surgery and Pediatric Cardiology, Children's Hospital and Health Center, San Diego, California, USA

Accepted for publication May 15, 1991.

* Address reprint requests to Dr Lamberti, 8008 Frost St, Suite 400, San Diego, CA 92123.

The Damus-Kaye-Stansel operation is a useful technique for the treatment of complex cyanotic congenital heat disease when there is obstruction between the systemic ventricle and the aorta. Modifications of the technique include transection of the aorta and the pulmonary artery, anastomosis of the contiguous aortic and pulmonary walls, and connection of the distal aorta to the perimeter of the new bivalved proximal great artery. In addition, the bidirectional cavopulmonary shunt technique can be used with or without the Fontan procedure. Six patients underwent a Damus-Fontan operation, and all survived. Two patients underwent the Damus-cavopulmonary shunt (hemi-Fontan) procedure, and 1 survived. The postoperative status of the 7 survivors is good to excellent. Follow-up ranges from 2 months to [equation] years.




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