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Extracardiac Fontan Operation with Prebuilt Fenestration: Preparing the Road for Future Atrial Access

Year: 2026

Type: article

Abstract: The extracardiac Fontan procedure is the most widely adopted surgical approach for definitive palliation of single-ventricle anomalies, offering improved hemodynamics and reduced arrhythmogenic risk. However, limited access to the pulmonary venous atrium during follow-up poses significant challenges for electrophysiologic and interventional procedures. We describe a simple technical modification of the extracardiac Fontan designed to preserve these advantages while facilitating future percutaneous access.

Source: Pediatric Cardiology

DOI: 10.1007/s00246-026-04204-4

Authors: Federica Torchio, Massimo Chessa, Alessandro Varrica, Carlo Pappone, Alessandro Giamberti

Institutions: IRCCS Policlinico San Donato, Vita-Salute San Raffaele University

Language: English

Topic: Congenital Heart Disease Studies

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,790