Fontan operation, new results and modifications

Abstract

Since the first Fontan operation, various techniques have been described. These methods have been changed during the time. Now new drugs are also being used beside surgery. Case reports: Fifteen patients with mean age of 8 years and diagnosis of tricuspid atresia or D TGA and single ventricle were operated in our hospital .All of them ,except one were operated with extra cardiac technique and fenestration was created in half due to CVP ( In seven cases ). We had one mortality and three case of postoperative morbidities .The major complications were pleural and pericardial effusion and chylothorax . We treated two patients inflicted with effusion with oral Sildenafil sulfate(Viagra) therapy.