Results of Fontan operation with triple anastomosis; A study on 32 patients

Nowadays there are many different modifications for Fontan operation. The optimal technique must include anastomosis as wide as possible without any gradient and turbulent flow. With this concept when we started Fontan operation 10 years ago, we performed a technique and named it 'triple anastomosis' consisting of division of superior vena cava [SVC] and anastomosis of its distal and proximal ends to the right pulmonary artery apart from each other and division of pulmonary trunk, and anastomosis of its distal end to the right auricle. We performed this technique in 32 patients with excellent results. They had good functional class in follow-up