Two patients with uncorrectable cyanotic cardiac anomalies underwent total cavopulmonary shunt(modified Fontan operation).
Case I was a 14 years old male with dyspnea and cyanosis after birth. Aortogram showed TGA combined with overriding of aorta, pulmonary stenosis, complete atrioventricular septal defect, interruption of inferior vena cava, and situs inversus totalis. We had per-formed total Cavo-pulmonary shu, tt using with 16 mm Gortex Graft in single atrium to by-pass the hepatic vein to pulmonai y artery. Postoperativly, patient sustained low PaO2 and low cardiac output and then expired at 19th postoperative day. The cause of death of the patient would be low cardiac output.
Case H was a 6 years old female with dyspnea and cyanosis after birth. Aortogram showed tricuspid atresia(Type Ub), transposition of great arteries, atrial septal defect, ventricular septal defect and pulmonary stenosis. We had performed total cavo-pulmonary shunt using intraatrial baffle (tunnel) with Goretex patch. The postoperative course of this patient was good without event.
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