PMID: 1280410Dec 11, 1992

Fontan procedure for hypoplastic left heart syndrome

The Annals of Thoracic Surgery
W I NorwoodJ D Murphy

Abstract

Since 1985, 354 neonates have undergone palliative reconstruction for hypoplastic left heart syndrome with 109 early deaths and 12 late deaths. Of the survivors, before 1989, 77 patients underwent a subsequent modified Fontan operation, consisting of baffling the atrial septal defect to the tricuspid valve (initial 25 patients) or intraatrial baffling of the inferior vena cava to the pulmonary arteries and superior vena cava (52 patients). There were 17 early deaths and three late deaths. Major serous effusions developed in 42 patients (54%) after Fontan operation. Since 1989, a staged approach to Fontan's operation was undertaken in an effort to reduce the volume load of the right ventricle as early as possible, to minimize the impact of rapid changes in ventricular geometry and diastolic function that can accompany a primary Fontan operation, and to reduce effusive complications. Thus, at a mean age of 6 months, 121 patients have undergone closure of aortopulmonary shunt, augmentation of central pulmonary arteries, and association of the superior vena cava with the branch pulmonary arteries (hemi-Fontan procedure). Of these, 61 patients have already undergone completion of the Fontan procedure with six early deaths and three ...Continue Reading

References

Feb 27, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·S SanoM Inoue
Mar 31, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·E L Bove
Jan 5, 2011·Journal of Anesthesia·Koichi YukiShoichi Uezono
Dec 12, 2012·General Thoracic and Cardiovascular Surgery·Toshiyuki Katogi
Feb 1, 1995·The Annals of Thoracic Surgery·K R KanterR N Vincent
Dec 1, 1995·The Annals of Thoracic Surgery·M L JacobsW I Norwood
Aug 1, 1996·The Annals of Thoracic Surgery·M L JacobsW I Norwood
May 1, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ahmad SallehuddinZohair Al-Halees
Sep 2, 1998·The Annals of Thoracic Surgery·A AngeliniG Thiene
Apr 28, 1999·Pediatric Clinics of North America·James S TweddellKathy A Mussatto
Aug 5, 2003·The American Journal of Emergency Medicine·William A WoodsMichael A McCulloch
Jul 13, 2004·Cardiology in the Young·M L Jacobs
Jul 13, 2004·Cardiology in the Young·Martin J Elliott
May 1, 1996·Echocardiography·Alvin J. Chin
Feb 9, 2013·Cardiology in the Young·Zdenka ReinhardtOliver Stumper
Apr 1, 2008·Radiology·Ana Maria GacaGeorge S Bisset
Aug 7, 2013·Emergency Medicine Clinics of North America·Isabel Araujo Barata
Oct 1, 1993·The Annals of Thoracic Surgery·J A HawkinsE C McGough
Oct 10, 2015·Journal of the American College of Cardiology·Kavitha N PundiFrank Cetta
Oct 15, 1995·The American Journal of Cardiology·Howard P Gutgesell, T A Massaro
Jun 1, 1994·Journal of Cardiothoracic and Vascular Anesthesia·S C NicolsonD R Jobes
Sep 10, 1998·The Journal of Thoracic and Cardiovascular Surgery·M L JacobsL L Bailey
Apr 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·M A FogelM L Jacobs
Jul 1, 1997·The Annals of Thoracic Surgery·T C KoutlasThomas L Spray
Feb 9, 2010·Congenital Heart Disease·Kimberly E McHughHoward P Gutgesell
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·C. Pizarro, M. R. De Leval
Oct 24, 2000·The Journal of Thoracic and Cardiovascular Surgery·M I CohenL A Rhodes
Jan 23, 2003·The Journal of Thoracic and Cardiovascular Surgery·Takashi KitaichiTetsuya Kitagawa
Apr 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·P W WeldnerB G Baylen
Mar 6, 2004·The Journal of Thoracic and Cardiovascular Surgery·George M HoffmanStuart Berger
Aug 23, 2016·Congenital Heart Disease·Kavitha N PundiBryan C Cannon
Apr 8, 2017·The American Journal of Cardiology·Kiona Y AllenDavid J Goldberg
Mar 8, 2019·World Journal for Pediatric & Congenital Heart Surgery·Jeremy L Herrmann, John W Brown
Dec 23, 2014·Journal of Biomechanical Engineering·Mahdi Esmaily-MoghadamAlison Marsden
Sep 3, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F DapperD Schranz
Jan 30, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Katarzyna JanuszewskaEdward Malec
Feb 26, 2020·World Journal for Pediatric & Congenital Heart Surgery·Giovanni Stellin

Citations

Feb 1, 1988·The Annals of Thoracic Surgery·J D PigottW I Norwood
May 1, 1971·Thorax·F Fontan, E Baudet
Jan 6, 1983·The New England Journal of Medicine·W I NorwoodD D Hansen

Related Concepts

Hospitals, Pediatric
Treatment Protocols
Hospital Mortality
Atrial Septal Defects
Cardiac Catheterization Procedures
Cardiac Surgery Procedures
Congenital Heart Defects
2D Echocardiography
Hypoplastic Left Heart Syndrome
Hemodynamics

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