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Ann Thorac Surg 2010;89:635-637. doi:10.1016/j.athoracsur.2009.07.068
© 2010 The Society of Thoracic Surgeons
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Takaya Hoashi
Edward L. Bove
Richard G. Ohye
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Right arrow Congenital - cyanotic

Case Reports

Successful Staged Fontan Completion for Truncus Arteriosus With Hypoplastic Left Ventricle

Takaya Hoashi, MD, Edward L. Bove, MD, Richard G. Ohye, MD*

Division of Pediatric Cardiovascular Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Michigan

Accepted for publication July 21, 2009.

* Address correspondence to Dr Ohye, 5144 Cardiovascular Center/SPC 5864 1500 E Medical Center Dr, Ann Arbor, MI 48109-5864 (Email: ohye{at}umich.edu).

We report a case of truncus arteriosus type II with a large outlet ventricular septal defect and a hypoplastic left ventricle. The first-stage palliation was the removal of both branch pulmonary arteries from the ascending aorta, patch augmentation of the pulmonary artery confluence, and modified Blalock-Taussig shunt at age 1 month. The second stage palliation was a bidirectional Glenn at 6 months. The final stage was an extracardiac Fontan at age 3 years. Eight years later, the patient is doing well, with an unobstructed Fontan pathway and mild-to-moderate truncal valve insufficiency.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
M. L. Jacobs and K. K. Pourmoghadam
Fontan Procedure for Truncus Arteriosus With Functionally Univentricular Heart
Ann. Thorac. Surg., November 1, 2010; 90(5): 1746 - 1746.
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