Intra/extracardiac fenestrated modification leads to lower incidence of arrhythmias after the Fontan operation

The Journal of Thoracic and Cardiovascular Surgery
Pranava SinhaR A Jonas

Abstract

The study objective was to compare the incidence of short- and intermediate-term arrhythmias among 3 different surgical modifications of the Fontan procedure. We performed a retrospective review of all patients who underwent the Fontan operation at a single institution between January 2004 and May 2010 for preoperative, perioperative, and follow-up variables. Three surgical modifications were studied: intra/extracardiac conduit with limited atriotomy, standard extracardiac conduit, and lateral tunnel. Rhythm was classified as normal or abnormal. A rhythm dysfunction grading was devised and used to identify worsening of rhythm for patients with abnormal rhythm preoperatively. Multivariable logistic regression was used to determine predictors of abnormal rhythm. To eliminate confounding effects of transient immediate postoperative arrhythmias, data were analyzed for abnormal rhythm within the first 2 weeks and for more than 2 weeks after surgery. Of the 134 patients (n = 50 with intra/extracardiac conduit with limited atriotomy, n = 19 with standard extracardiac conduit, n = 65 with lateral tunnel) (median follow-up, 36 months; interquartile range, 22-50 months; 2 operative deaths and 6 late deaths), rhythm data for more than 2 w...Continue Reading

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Citations

Feb 3, 2016·Archivos de cardiología de México·Marlo Ortiz-VázquezJorge Cervantes-Salazar
Feb 6, 2014·The Annals of Thoracic Surgery·Andrew C FioreJohn W Brown
Aug 20, 2014·The Journal of Thoracic and Cardiovascular Surgery·Yasuhiro KotaniOsami Honjo
Dec 3, 2014·The Annals of Thoracic Surgery·Constantine MavroudisBarbara J Deal
Oct 16, 2015·World Journal for Pediatric & Congenital Heart Surgery·Dingchao HePranava Sinha
Sep 19, 2018·Cardiology in the Young·Peter P RoeleveldJohn M Costello
Dec 24, 2018·Current Opinion in Cardiology·Shuhua Luo, Osami Honjo
Feb 14, 2018·Critical Care Nurse·Melissa Beaudet Jones
Feb 20, 2020·Journal of Cardiac Surgery·Maxwell F KilcoyneAchintya N Moulick
Jul 21, 2020·Cardiology in the Young·Baneen AlkofairAshraf S Harahsheh
Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Sachin TalwarShiv Kumar Choudhary
Jan 13, 2021·Cardiology in the Young·May Al-ShawkAmer Harky
Feb 16, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Sachin TalwarBalram Airan

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