
ALT A, The initial anatomy of patient 1 after balloon aortic valvuloplasty, Norwood procedure, bidirectional Glenn, and an extracardiac Fontan procedure. B. Konno-Rastan aortoventriculoplasty: Bioprosthetic aortic valve replacement carried out with a patch of bovine pericardium augmenting the left ventricular outflow tract and aortic annulus anteriorly. C, Superior vena cava (SVC) to right atrium (RA) continuity is reestablished. D, Inferior vena cava (IVC) to RA continuity is performed using polytetrafluoroethylene graft of existing Fontan conduit. E, Final anatomy of patient 1 after Damus-Kaye-Stansel takedown, Konno-Rastan aortoventriculoplasty, endocardial fibroelastosis resection with mitral valve repair, bioprosthetic aortic valve replacement, atrial septation, and reestablishing continuity of SVC/IVC to RA and main pulmonary artery (PA) to PA branches.






































