Two patients (one girl, one boy) with Kartagener syndrome (situs inver
sus, bronchiectasis, sinusitis), despite pulmonary problems and associ
ated congenital cardiac anomalies, were operated on at the ages of 4 y
ears and 7 years, respectively. They had had previous palliative treat
ment at the age of 3 months and 1.3 years, respectively. Both postoper
ative periods after total correction were without significant complica
tions. Longterm follow-up was available for 9 and 19 years, respective
ly, with no manifestations of heart insufficiency. Both patients are p
hysically active, and neither requires cardiac medication. Patients wi
th Kartagener syndrome and associated congenital cardiac anomalies can
successfully undergo multiple cardiac operations with good long-term
outcome.