Content from the Journal of the American Neurological Surgeons.

Extracardiac Fontan Operation for Right Isomerism, Left-Sided IVC, and Apicocaval Juxtaposition

The patient is a five-year-old girl weighing 21 kg with right isomerism, right-sided superior vena cava (SVC), and left-sided inferior vena cava (IVC). The patient’s pulmonary venous confluence drained to the left atrium. She had a dominant right ventricle and double outlet right ventricle. A right-sided bilateral cavopulmonary connection had been performed four years prior.…