| Summary: | Fontan surgery and its modifications are well-recognized palliation for univentricular types of heart lesions. Nowadays palliation can be achieved by combined surgical and transcatheter approaches, which offer good immediate and early results for the high-risk patients.
Method: Between September 2006 through January 2012, 18 patients underwent transcatheter completion of Fontan (gp 1), 28 patients underwent surgical fenestrated extracardiac Fontan (gp 2).
GP 1: patients were ventelated and angiogram and hemodynamic assessment followed by opening of the SVC-RA junction and fdevice closure of the ASD II, some with use of covered stent.
GP 2: extracardiac Fontan is done with Fenetration by single Surgeon.
Result: Mean age 4.8 year for (gp1), 3.5 year for (gp2) mean weight is 20 kg& 14 kg respectively, median median sat is 95% and 88% (p < 0.07) , median pulmonary artery pressure is 15 mmhg and 12 mmhg , hospital stay is 2 days and 13 days (p < 0.05) ,7 patients has pleural effusion and 7 has atrial tachy cardia from gp 2 none from gp 1, median follow up 4.8 year.
Conclusion: We conclude that Trans catheter completion of Fontan approach in selected patient is safe and considered an alternative approach.
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