PMID: 9434697Jan 22, 1998Paper

Extracardiac Fontan operation for complex cardiac anomalies: seven years' experience

The Journal of Thoracic and Cardiovascular Surgery
A AmodeoC Marcelletti

Abstract

Between 1988 and 1995, 60 patients with complex cardiac anomalies underwent a total extracardiac cavopulmonary connection, a combination of a bidirectional cavopulmonary anastomosis with an extracardiac conduit interposition between the inferior vena cava and pulmonary arteries, except in one patient in whom direct anastomosis was possible. In 40 patients the total extracardiac cavopulmonary connection followed preliminary bidirectional cavopulmonary anastomosis, associated with a modified Damus-Kaye-Stansel anastomosis in 16. The conduits were constructed of Dacron fabric (n = 34), homografts (n = 3), and polytetrafluoroethylene (n = 22). Total early failure rate was 15% (n = 9). Six patients died, and three more had conduit takedown owing to pulmonary artery stenosis and hypoplasia (n = 2) and severe atrioventricular valve regurgitation (n = 1). Two other patients required anastomosis revision owing to stricture. In a mean follow-up of 48 months (6 to 86 months) there were no late deaths (actuarial 5-year survival 88% +/- 4%); 52 of 54 patients are in New York Heart Association class I or II. Two patients required pulmonary artery balloon dilation or stent implantation, or both, after total extracardiac cavopulmonary connecti...Continue Reading

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Citations

Sep 11, 2007·Pediatric Cardiology·B J DealC L Backer
Oct 17, 2007·Pediatric Cardiology·S OcelloC F Marcelletti
Sep 2, 2000·The Annals of Thoracic Surgery·G S Van ArsdellW G Williams
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