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The Fontan-Operation: From Intra- to Extracardiac Procedure
- Source :
- Cardiovascular Surgery. 11:70-74
- Publication Year :
- 2003
- Publisher :
- SAGE Publications, 2003.
-
Abstract
- Purpose For treatment of univentricular heart, the Fontan operation has been established as the definitive palliation. The current controversy is mainly based on the high incidence of arrhythmias after an intra-atrial lateral tunnel Fontan operation. Methods From January 1995 until April 2002. 46 children underwent a Fontan-type operation with or without a small fenestration. In 33 patients (group I) an Intracardiac tunnel and in 13 patients (group II) an extracardiac conduit procedure was performed. Principal findings There was no perioperative mortality. All patients showed postoperative a significant increase of arterial oxygen saturation, from 76 to 86% after surgery with fenestration, or to 90.5% without fenestration respectively. In patients with fenestration procedure, the saturation rose to 90% after closure of fenestrations 9 to 12 months after operation. Conclusions Modified Fontan operations can be performed in normothermia on the beating heart with acceptable mortality. The extracardiac conduit Fontan procedure has the benefits of less surgical injury and a higher intraoperative flexibility.
- Subjects :
- Adult
Heart Defects, Congenital
Male
congenital, hereditary, and neonatal diseases and abnormalities
medicine.medical_specialty
Adolescent
medicine.medical_treatment
Group ii
Extracardiac conduit
Fontan Procedure
Intracardiac injection
Fontan procedure
Intraoperative Period
medicine
Humans
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Child
Cardiopulmonary Bypass
business.industry
Infant
Perioperative
Surgical Injury
Univentricular heart
Surgery
Oxygen
surgical procedures, operative
Child, Preschool
cardiovascular system
Female
High incidence
business
Cardiology and Cardiovascular Medicine
Follow-Up Studies
Subjects
Details
- ISSN :
- 09672109
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....e9a8add656c874720c0857b3215ae308