Fontan modification for subsequent non-surgical Fontan completion

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
A SidiropoulosW Konertz

Abstract

Establishment of Fontan circulation in complex univentricular hearts often requires several surgical procedures. We developed a procedure which maintains the advantages of a staged approach, however, during the initial surgery additional preparatory measures are performed to allow subsequent non-surgical Fontan completion. The operation is a lateral baffle Fontan procedure. The baffle bears multiple perforations to allow the inferior vena cava blood to drain into the systemic atrium. Total cavopulmonary connection is performed as usual and the cardiac end of the superior vena cava is subtotally banded. Formally the operation establishes a bi-directional Glenn physiology. During subsequent catheter intervention the banding of the superior vena cava is dilated and the holes in the baffle are closed with appropriate devices. From April 1994 to December 1995, 18 children having at least two risk factors for Fontan operation received the above described operation. Ages ranged from 3 months to 15 years. Ten patients had one or more previous operations. Bypass time ranged from 86 to 128 min and cross clamp time from 14 to 79 min. O2 saturation after discontinuation of cardiopulmonary bypass was 76% (70-81%). The postoperative recovery...Continue Reading

Citations

May 1, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ahmad SallehuddinZohair Al-Halees
Sep 4, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Younes BoudjemlineDamien Bonnet
Apr 13, 2006·Scandinavian Cardiovascular Journal : SCJ·Igor E Konstantinov, Vladimir V Alexi-Meskishvili
Mar 28, 2012·The Annals of Thoracic Surgery·Ramón Arreola-TorresFernando Carrillo-Llamas
Jun 24, 2004·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·M J MercerE G Weinberg
Jan 6, 2005·The Journal of Thoracic and Cardiovascular Surgery·Igor E KonstantinovWilliam G Williams
Jan 25, 2011·The Annals of Thoracic Surgery·Bahaaldin AlsoufiCharles C Canver
Jun 29, 2014·Archives of Cardiovascular Diseases·Younes BoudjemlineSébastien Gerelli
Dec 30, 2016·World Journal for Pediatric & Congenital Heart Surgery·Sudesh PrabhuNelson Alphonso
Mar 26, 2003·Current Opinion in Cardiology·Daniel S LeviJohn W Moore
Jul 11, 2020·World Journal for Pediatric & Congenital Heart Surgery·Sudesh PrabhuTom Roland Karl
Jan 15, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·E Oliver AregullinJoseph Vettukattil

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