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Cardiovascular Medicine
Volume 13
Issue 10
10.4414/cvm.2010.01532
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Cardiovascular Medicine is published by MDPI from Volume 28 Issue 1 (2025). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Editores Medicorum Helveticorum (EMH).
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Case Report

Die Fontan-Konversion—Oder das Schicksal, Die Erste zu Sein

by
Kerstin Wustmann
1,
Alexander Kadner
2,
Jean-Pierre Pfammatter
3,
Etienne Delacrétaz
1,
Thierry Carrel
2 and
Markus Schwerzmann
1,*
1
Universitätsklinik für Kardiologie, Herzchirurgie, Inselspital, Bern, Switzerland
2
Universitätsklinik für Herzchirurgie, Inselspital, Bern, Switzerland
3
Universitätsklinik für Kinderkardiologie, Inselspital, Bern, Switzerland
*
Author to whom correspondence should be addressed.
Cardiovasc. Med. 2010, 13(10), 309; https://doi.org/10.4414/cvm.2010.01532
Submission received: 13 July 2010 / Revised: 13 August 2010 / Accepted: 13 September 2010 / Published: 13 October 2010
Versions Notes

Abstract

We report the case of the first patient with tricuspid atresia in whom an “old-fashioned” Fontan operation with an atriopulmonary anastomosis was performed in our hospital 18 years ago. Complications of the former “classical” Fontan circulation can include progressive right atrial dilatation leading to tachyarrhythmias, flow energy loss, obstruction of pulmonary veins, right atrial thrombi and the formation of pulmonary arteriovenous fistulas. In order to palliate our patient from recurrent atrial tachyarrhythmias and increasing haemodynamic disturbances, the previous “old-fashioned” Fontan circulation was surgically revised and converted according to a “modern” type of extracardiac Fontan circulation with additional anti-arrhythmic procedures. The post-operative course was uneventful. After recovery from surgery, the patient’s quality of life improved. She is free from atrial tachycardias and shows an increased exercise capacity. We will briefly discuss the complications of the classical Fontan circulation and the possible risks of the Fontan conversion. After having been the first Fontan patient in our center, our patient was again the first to require a major revision of its circulation.

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MDPI and ACS Style

Wustmann, K.; Kadner, A.; Pfammatter, J.-P.; Delacrétaz, E.; Carrel, T.; Schwerzmann, M. Die Fontan-Konversion—Oder das Schicksal, Die Erste zu Sein. Cardiovasc. Med. 2010, 13, 309. https://doi.org/10.4414/cvm.2010.01532

AMA Style

Wustmann K, Kadner A, Pfammatter J-P, Delacrétaz E, Carrel T, Schwerzmann M. Die Fontan-Konversion—Oder das Schicksal, Die Erste zu Sein. Cardiovascular Medicine. 2010; 13(10):309. https://doi.org/10.4414/cvm.2010.01532

Chicago/Turabian Style

Wustmann, Kerstin, Alexander Kadner, Jean-Pierre Pfammatter, Etienne Delacrétaz, Thierry Carrel, and Markus Schwerzmann. 2010. "Die Fontan-Konversion—Oder das Schicksal, Die Erste zu Sein" Cardiovascular Medicine 13, no. 10: 309. https://doi.org/10.4414/cvm.2010.01532

APA Style

Wustmann, K., Kadner, A., Pfammatter, J.-P., Delacrétaz, E., Carrel, T., & Schwerzmann, M. (2010). Die Fontan-Konversion—Oder das Schicksal, Die Erste zu Sein. Cardiovascular Medicine, 13(10), 309. https://doi.org/10.4414/cvm.2010.01532

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