PMID: 9647088Jul 1, 1998Paper

Clinical results of the staged Fontan procedure in high-risk patients

The Annals of Thoracic Surgery
M MasudaH Yasui

Abstract

For high-risk Fontan candidates, the introduction of a bidirectional Glenn shunt before total cavopulmonary connection (a two-staged strategy) may extend the indications for the Fontan procedure. The clinical results of the two-staged and one-staged Fontan procedure were thus reviewed and compared. Between November 1991 and July 1996, the two-staged strategy was performed in 40 high-risk Fontan candidates with a mean interval of 17.2 months after introducing the bidirectional Glenn shunt (staged group). We considered a young age (<2 years), high mean pulmonary arterial pressure (> or =20 mm Hg), high pulmonary vascular resistance (> or =3 Wood units), small pulmonary artery (Nakata index <200 mm2/m2), atrioventricular valve incompetence (> or = moderate), distortion of pulmonary artery, anomalous pulmonary venous return, and poor ventricular function as risk factors for the successful completion of Fontan circulation. During the same period, 68 patients underwent the modified Fontan procedure in a one-step fashion (primary group). In the staged group after the bidirectional Glenn shunt, the mean pulmonary arterial pressure and ventricular end-diastolic pressure were both found to have decreased significantly to the same level a...Continue Reading

References

Feb 1, 1990·Journal of the American College of Cardiology·D A BartmusG K Danielson
Oct 1, 1993·The Annals of Thoracic Surgery·J A HawkinsE C McGough
Nov 1, 1993·American Journal of Surgery·W I Norwood, M L Jacobs
Jun 1, 1993·The Annals of Thoracic Surgery·M A SeliemW I Norwood
Apr 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·P B ManningE P Walsh
Sep 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·R KaulitzH C Kallfelz
Nov 1, 1996·The Annals of Thoracic Surgery·J C LaschingerR E Ringel

❮ Previous
Next ❯

Citations

Aug 31, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Makram R EbeidJames A Joransen
Nov 11, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·K MoritaK Sugiyama
Dec 24, 2005·Pediatric Cardiology·K FrancoisG Van Nooten
Oct 16, 2008·General Thoracic and Cardiovascular Surgery·Manabu WatanabeTadashi Fujiwara
Jan 24, 2009·The Annals of Thoracic Surgery·Yasuhiro FujiiTeiji Akagi
Feb 9, 2002·The Annals of Thoracic Surgery·Shigehiko TokunagaHisataka Yasui
Sep 20, 2002·The Annals of Thoracic Surgery·Miwa NanaumiHirokuni Yoshimura
Aug 7, 2003·The Annals of Thoracic Surgery·Yoshihisa TanoueKunitaka Joh
Jul 10, 2003·Critical Care Clinics·Steven M SchwartzDavid P Nelson
Aug 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·N YoshimuraS Kido
Dec 4, 2003·Pediatrics International : Official Journal of the Japan Pediatric Society·Kazuhiro TakahashiMakoto Nakazawa
May 18, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Katrien FrançoisDaniel De Wolf
Mar 20, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Therese M Giglia, Tilman Humpl
May 27, 2003·Archives of Disease in Childhood·T Rakow, C Bull
Nov 15, 2011·Journal of Cardiovascular Magnetic Resonance : Official Journal of the Society for Cardiovascular Magnetic Resonance·Lamia Ait-AliPierluigi Festa
Feb 21, 2008·Journal of Cardiothoracic Surgery·Jae Gun KwakEun Jung Bae
Nov 28, 2006·Critical Care : the Official Journal of the Critical Care Forum·Ruth HeyingMarie-Christine Seghaye
Mar 10, 2001·Cardiology in the Young·A R MottG Wernovsky
Jul 10, 2012·The Annals of Thoracic Surgery·Yasuhiro FujiiKozo Matsuo
Jul 14, 2010·The Journal of Thoracic and Cardiovascular Surgery·Ujjwal K ChowdhurySrikrishna M Reddy
Nov 22, 2008·The Annals of Thoracic Surgery·Riza TurkozSait Aşlamaci
Oct 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Yoshihisa TanoueShiro Ishikawa
Nov 25, 2004·The Annals of Thoracic Surgery·Yoshihisa TanoueShiro Ishikawa
Jun 18, 2002·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Hitoshi YamauchiShigeo Tanaka
Sep 25, 2008·Asian Cardiovascular & Thoracic Annals·Suchaya SilvilairatWeerachai Nawarawong
Jan 26, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Noritaka OtaHironori Izutani
Feb 14, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Motonori IshidouKisaburo Sakamoto
Feb 23, 2019·Asian Cardiovascular & Thoracic Annals·Oktay KorunNuman Ali Aydemir
Sep 16, 2021·Asian Cardiovascular & Thoracic Annals·Motonori IshidouKisaburo Sakamoto

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.