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

Tom R Karl
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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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008

 

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Tom R Karl
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.






[FULL TEXT] [PDF]*


        
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 © 2008 Annals of Pediatric Cardiology | Published by Wolters Kluwer - Medknow
 Online since 20th April, 2008