Fontan Procedure

Also known as: Fontan completion surgery.

What is fontan procedure?

Fontan procedure is a heart surgery used to correct single ventricle type heart defects in children. The defect it helps to correct is one where oxygen-rich and oxygen-poor blood mixes and does not circulate properly.  It is usually the third surgery for single ventricle palliation.

What happens during the procedure?

This surgery involves connecting a vein called the inferior vena cava to the pulmonary arteries. This is done with a tube that bypasses the heart and directs blood to the lungs for oxygenation. The procedure essentially separates the oxygen-rich blood from oxygen-poor blood.

Is any special preparation needed?

The Fontan procedure is a major medical procedure. Several tests will be conducted beforehand. It’s also important to avoid certain medications, foods or drinks before the procedure as instructed by your doctor.

What are the risk factors?

The surgery poses risks including bleeding, stroke, heart attack, infections, breathing problems, fluid build up in the lungs, drug reactions, arrhythmia, need for pacemaker, and possibly death.. However, the benefits of the procedure greatly outweigh the risks.

Fontan procedure at Nicklaus Children’s Hospital: Fontan procedures are performed by Nicklaus Children’s Hospital’s team of top-notch pediatric heart surgeons using the newest techniques.

Reviewed by: Madalsa Dipak Patel, MD

This page was last updated on: 7/9/2018 6:29:04 PM

From the Newsdesk

Infant flown from Puerto Rico days after Hurricane Maria for Lifesaving Surgery
Naialee Perez had just given birth to her first child, a baby boy named Liam, when a category five hurricane was making its way towards her hometown in the island of Puerto Rico. Liam was on a ventilator and undergoing treatment for a congenital heart defect in Hospital del Niño in San Juan while those on the island prepared for what would become one of the most catastrophic hurricanes in its history.
August Patient of the Month: Luife
While he was still inside his mother’s womb, Luife was diagnosed with transposition of the great arteries, a congenital heart defect. Shortly after birth, Luife was taken by ambulance to the cardiac team at Nicklaus Children’s. The pediatric cardiology team took Luife’s heart apart, piece by delicate piece, and successfully, put it back together. Today, Luife is a healthy, active and outgoing 8-year-old boy who wears his “Scar of Honor” with pride.