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The Journal of Thoracic and Cardiovascular Surgery, Vol 100, 233-239, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

A modification of the Fontan procedure incorporating anomalies of systemic and pulmonary venous return

PR Julsrud and GK Danielson
Section of Cardiovascular Radiology, Mayo Clinic/Foundation, Rochester, Minn. 55905.

A modification of the Fontan procedure is described in which separation of anomalous systemic and pulmonary venous pathways is accomplished without the need for construction of a complex intraatrial baffle. The feasibility of this simplified surgical technique is predicated on the presence of a left superior vena cava draining to a coronary sinus. The design of the procedure and results in two patients with polysplenia syndrome and a constellation of systemic and pulmonary venous anomalies are presented. Early and late results have been gratifying, and continued exploration of the technique seems warranted.

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