Traditional Atriopulmonary Connection Fontan with Excellent Outcome for 32 Years

Abstract

Although the traditional right atrial–pulmonary artery (RA–PA) Fontan has been replaced by the total cavopulmonary connection, some RA–PA Fontan patients still have good outcome. We report a 37-year-old male who underwent traditional Fontan 32 years ago with the diagnosis of L-transposition of great arteries, subvalvular pulmonary stenosis and cardiac dextroversion. Among the recent CTA, electroconvulsive therapy, catheterization and angiography, pulsatile PA, uniform pulmonary blood, normal PA pressure and resistance were observed in this patient. The traditional RA–PA Fontan may be an alternative surgical procedure.

The prediction and verification of outcome of extracardiac conduits fontan based on computational fluid dynamics simulation

“…We reported the first group of traditional modified Fontan operation and TCPC of China in 1984 and 1992, respectively ( Wang et al, 1984 ; Wang et al, 1992 ). The subsequent follow-up studies on pulmonary vascular perfusion and activity tolerance were carried out ( Yin et al, 2006 ; Yin et al, 2009 ; Yin et al, 2012 ) , and the longest follow-up period was 32 years ( Zhang et al, 2020 ). In 2015, we reported the first group of YCPC of China with good follow-up result of hemodynamics ( Wang et al, 2015 ).…”