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Ann Pediatr Cardiol. 2011 Jul;4(2):103-10. doi: 10.4103/0974-2069.84634.

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

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1
Department of Paediatric Cardiac Surgery, Queensland Paediatric Cardiac Service, Mater Children's Hospital, Brisbane, Australia.

Abstract

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.

KEYWORDS:

AV discordance; Fontan procedure; congenitally corrected transposition; discordant transposition

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