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The role of the Fontan operation in the treatment of congenitally corrected transposition of the great arteries


Department of Paediatric Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children's Hospital, Brisbane, Australia

Correspondence Address:
Tom R Karl
Department of Paediatric Cardiac Surgery, Mater Children's Hospital, Raymond Terrace, S. Brisbane QLD 4101
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.84634

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Year : 2011  |  Volume : 4  |  Issue : 2  |  Page : 103-110

 

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Congenitally corrected transposition of the great arteries (ccTGA) is a complex cardiac anomaly with an unfavorable natural history. Surgical treatment has been available for over 50 years. Initial procedures used for ccTGA did not correct atrio-ventricular discordance, leaving the right ventricle in systemic position. In the past two decades anatomic repair has been considered to be a better option. Many cases subjected to anatomic repairs would also be suitable for the Fontan strategy, which probably has a lower initial risk. The rationale for use of the Fontan operation in management of congenitally corrected transposition is discussed in this review, with comparisons to other strategies.






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Department of Paediatric Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children's Hospital, Brisbane, Australia

Correspondence Address:
Tom R Karl
Department of Paediatric Cardiac Surgery, Mater Children's Hospital, Raymond Terrace, S. Brisbane QLD 4101
Australia
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.84634

Rights and Permissions

Congenitally corrected transposition of the great arteries (ccTGA) is a complex cardiac anomaly with an unfavorable natural history. Surgical treatment has been available for over 50 years. Initial procedures used for ccTGA did not correct atrio-ventricular discordance, leaving the right ventricle in systemic position. In the past two decades anatomic repair has been considered to be a better option. Many cases subjected to anatomic repairs would also be suitable for the Fontan strategy, which probably has a lower initial risk. The rationale for use of the Fontan operation in management of congenitally corrected transposition is discussed in this review, with comparisons to other strategies.






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