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Ann Thorac Surg 2001;71:715-717
© 2001 The Society of Thoracic Surgeons

Case report

Successful staged-Fontan operation in a patient with ectopia cordis

Shigehiko Tokunaga, MDa, Hideaki Kado, MDa, Yutaka Imoto, MDa, Yuichi Shiokawa, MDa, Hisataka Yasui, MDb

a Department of Cardiovascular Surgery, Fukuoka Children’s Hospital, Fukuoka, Japan
b Department of Cardiovascular Surgery, Kyushu University, Fukuoka, Japan

Accepted for publication June 26, 2000.

Address reprint requests to Dr Tokunaga, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, F25, 9500 Euclid Ave, Cleveland, OH 44195

Ectopia cordis is a very rare and often fatal disease. We report a successful surgery case of thoracoabdominal ectopia cordis with univentricular heart. This patient underwent a three-stage Fontan procedure, a right-modified Blalock-Taussig shunt at the age of 1 month, bidirectional Glenn shunt and pulmonary arterioplasty at 2 years 8 months, and finally a total cavopulmonary connection at 4 years. This patient was discharged from the hospital in good condition and has been doing well since. Thus, ectopia cordis is not a contraindication for a Fontan operation.






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