Single-Stage Total Cavopulmonary Venous Connection in Adults: Three Cases Report Describing the Early Results of This Procedure

Abstract

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. Keywords: Single-stage total cavopulmonary venous connection; Adults; Fontan procedure; Single ventricle; Thailand