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Ann Thorac Surg 1994;57:1643-1645
© 1994 The Society of Thoracic Surgeons

Articles

Modified fontan operation with reconstruction of the nonconfluent pulmonary artery

Kohji Nomura, MD, Hiromi Kurosawa, MD*, Kazuhiro Hashimoto, MD, Asatoshi Mizuno, MD, Masaaki Yamagishi, MD

Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo, Japan

Accepted for publication August 20, 1993.

* Address reprint requests to Dr Kurosawa, Department of Cardiovascular Surgery, Jikei University School of Medicine, 3-25-8, Nishishinbashi, Minato-ku, Tokyo, Japan.

A modification of the Fontan operation for tricuspid atresia with a nonconfluent pulmonary artery after a Glenn shunt is reported. Confluence was established posteriorly using an inverted right atrial flap and anteriorly with a xenopericardial patch.




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