Severe coronary sinus dilatation after a modification of the classic Fontan operation: successful resolution with a revision Fontan operation

Pediatr Cardiol. 2003 Sep-Oct;24(5):513-5. doi: 10.1007/s00246-002-0297-y.

Abstract

Two patients with functional single ventricle and a left superior vena cava, which drained to the coronary sinus, are presented. Each had undergone a Fontan modification that incorporated the coronary sinus into the Fontan pathway. Each developed severe right atrial and coronary sinus dilatation. Revision of a Fontan with an intraatrial lateral tunnel and an extracardiac conduit resulted in improved functional capacity of the patients.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Coronary Disease / etiology*
  • Coronary Disease / pathology
  • Coronary Disease / surgery
  • Coronary Vessels / pathology*
  • Dilatation, Pathologic / etiology
  • Female
  • Fontan Procedure / adverse effects*
  • Humans
  • Male
  • Reoperation