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Ann Thorac Surg 2005;79:1047-1049
© 2005 The Society of Thoracic Surgeons

Case report

Alternative Fontan Connection for Apicocaval Juxtaposition

Hong Gook Lim, MDa, Woong-Han Kim, MD*,a, Sam-Se Oh, MDb, Cheong Lim, MDa, Soo-Jin Kim, MDc, Young Tak Lee, MDd, Soo-Cheol Kim, MDb

a Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, South Korea
b Department of Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Buchon, Kyonggi-do, South Korea
c Department of Pediatric Cardiology, Sejong General Hospital, Sejong Heart Institute, Buchon, Kyonggi-do, South Korea
d Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

Accepted for publication September 10, 2003.

* Address reprint requests to Dr Kim, Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, 28 Yongon-dong, Jongro-gu, Seoul 110-744, South Korea
woonghan{at}korea.com

We present an alternative technique to the modified Fontan procedure used in a 3-year-old boy who had complex heart defects with bilateral superior vena cava and apicocaval juxtaposition. The left superior vena caval pathway was used behind the ventricle to connect the inferior vena cava to the pulmonary artery. We proved the technical feasibility of this with good midterm results at the 5-year follow-up angiography.




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