We report a case of heterotaxia with single-ventricle physiology undergoing
successively pulmonary artery banding (PAB) at 8 months of age, repair of
pulmonary vein (PV) stenoses at 15 months of age, and a fenestrated total c
avopulmonary connection (TCPC) combined with repair of a regurgitant common
atrioventricular (AV) valve and a Damus-Stansel operation for a restrictiv
e subaortic ventricle at 5 years of age, followed by percutaneous closure o
f the fenestration. The child is now 10 years old and is, to the best of ou
r knowledge, the only reported long-term survivor of a Fontan type procedur
e done after repair of PV stenoses. (C) 2001 by The Society of Thoracic Sur
geons.