Introduction:
Fontan surgery and its modifications are well-recognized palliation for univentricular types of heart lesions. Until recently the surgical route was the only reasonable approach, but nowadays palliation can be achieved by combined surgical and transcatheter approaches, which offer good immediate and early results for the high-risk patient.
Method:
7 patients underwent stage I ( hemifontan) which is purely surgical , 3 ( 48.2%) of them underwent stage II transcatheter completion of Fontan using uncovered stent and ASD II device closure of the Fenestration, 2 of them ( 66.6% ) has adjunctive closure of pulmonary forward flow using Amplatzer muscular VSD device closure.
Result:
Mean age 6.8 year, mean weight is 20 kg, median hospital saty is 2 days , median follow up 1 year, no immediate or early complication, rhythm is sinus, no reintervention.
Conclusion:
We conclude that Trans catheter completion of Fontan approach in selected patient is an alternative approach.