Single-Stage Total Cavopulmonary Venous Connection in
Adults: Three Cases Report Describing the Early
Results:
of This Procedure
Ekarat Nitiyarom MD¹, Paweena Chungsomprasong MD², Thaworn Subtaweesin MD¹, Somchai Sriyoschati MD¹
Affiliation : ¹ Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand ² Division of Cardiology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Background: The modified Fontan procedure has routinely been performed in children in the present study hospital. Recently, some adults with
functionally univentricular hearts were potential candidates for a Fontan completion.
Objective: To review the early results of the single stage Fontan procedure in three adult patients in the last two years.
Case Report: There was no mortality. Re-operations were observed in two patients. The mean extubation time, ICU stay, and hospital stay were three days, five days, and ten days, respectively. The median post-operative oxygenation was 95%. The NYHA class improved significantly in all patients.
Conclusion: Single stage Fontan completion can be performed in carefully selected adult patients. The present report is the early results in three consecutive patients over the last two years. The long-term outcome needs to be followed. The authors hope to enroll more adult patients with univentricular heart and to determine the criteria for a potential adult candidate in the future.
Received 21 September 2020 | Revised 22 April 2021 | Accepted 28 April 2021
doi.org/10.35755/jmedassocthai.2021.06.11888
Keywords : Single-stage total cavopulmonary venous connection; Adults; Fontan procedure; Single ventricle; Thailand
