Successful Single Lung Fontan Operation in 2 Children: Case Reports


  • D. Schmauss
  • I. Kaczmarek
  • J. Sachweh
  • R. Kozlik-Feldmann
  • R. Sodian
  • M. A. Deutsch
  • B. Reichart
  • S. H. Daebritz



We report on 2 children, aged 3 and 4 years, with single ventricle physiology who underwent Fontan operation in the presence of a single right lung successfully with good midterm outcome. Therefore, the absence of one lung is not a contraindication for a Fontan palliation in selected patients with optimal hemodynamics.


Al-Khaldi A, Chedrawy EG, Tchervenkov CI, Shum-Tim D. 2005. Successful single-lung Fontan operation in an adult: 5-year follow-up. Ann Thorac Surg 19:1042-4.nChen JM, Davies RR, Mital SR, et al. 2004. Trends and outcomes in transplantation for complex congenital heart disease: 1984 to 2004. Ann Thorac Surg 78:1352-61.nGentles TL, Mayer JE, Gauvreau K, et al. 1997. Fontan operation in five hundred consecutive patients: factors influencing early and late outcome. J Thorac Cardiovasc Surg 114:376-91.nJacobs ML, Schneider DJ, Pourmoghadam KK, Pizzaro C, Norwood WI. 2004. Total cavopulmonary connection to one lung. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 7:72-9.nMayer JE, Helgason H, Jonas Ra, et al. 1986. Extending the limits for modified Fontan procedures. J Thorac Cardiovasc Surg 92:1021-8.nMitchell MB, Campbell DN, Boucek MM. 2004. Heart transplantation for the failing Fontan circulation. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 7:56-64.nSade RM, Gillette PC. 1989. Fontan operation in a case of single functional pulmonary artery. J Thorac Cardiovasc Surg 98:153-4.nTchervenkov CI, Chedrawy EG, Korkola SJ. 2002. Fontan operation for patients with severe distal pulmonary artery stenosis, atresia or a single lung. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 5:68-75.nUemura H, Yagihara T, Kawashima Y, Okada K, Kamiya T, Anderson RH. 1995. Use of the bidirectional Glenn procedure in the presence of forward flow from the ventricles to the pulmonary arteries. Circulation 92(suppl 9):II228-32.nZachary CH, Jacobs ML, Apostopoulou S, Fogel MA. One-lung Fontan operation: hemodynamics and surgical outcome. Ann Thorac Surg 1998.n



How to Cite

Schmauss, D., Kaczmarek, I., Sachweh, J., Kozlik-Feldmann, R., Sodian, R., Deutsch, M. A., Reichart, B., & Daebritz, S. H. (2007). Successful Single Lung Fontan Operation in 2 Children: Case Reports. The Heart Surgery Forum, 10(4), E331-E333.