Orthotopic heart transplantation for Fontan failure: experience and treatment strategy—a case report
This case illustrates a successful approach to orthotopic heart transplantation in a child with failing Fontan circulation supported by a VAD. Reconstruction of the pulmonary artery using a large pericardial patch and restoration of bicaval continuity were key to overcoming complex anatomical challenges.
Authors
- Yasutaka Hirata (ORCID: https://orcid.org/0000-0003-1673-6891)
- Ryo Inuzuka (ORCID: https://orcid.org/0000-0001-7501-689X)
- Shigeto Tsuji (ORCID: https://orcid.org/0000-0002-2599-1774)
- Hideyuki Kato (ORCID: https://orcid.org/0000-0001-9803-4871)
- Fumiaki Shikata (ORCID: https://orcid.org/0000-0001-9325-1877)
- Minoru Ono
- Sadayuki Moriyama
- Sakura Horie
- Masahiko Ando
Institutions
- University of Tokyo Hospital (JP)
- University of Tsukuba Hospital (JP)
- National Center For Child Health and Development (JP)
Publication Details
- Journal
- General Thoracic and Cardiovascular Surgery Cases
- Published
- 2026-01-07
- DOI
- https://doi.org/10.1186/s44215-025-00234-1
- Primary Topic
- Transplantation: Methods and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00