PMID: 11899191Mar 20, 2002Paper

Midterm results of surgical treatment of systemic ventricular outflow obstruction in Fontan patients

The Annals of Thoracic Surgery
Takeshi HiramatsuTakahiko Sakamoto

Abstract

Achieving unobstructed blood flow from the systemic ventricle to the aorta is important during the Fontan procedure for complex cyanotic congenital heart disease when there is systemic ventricular outflow obstruction (SVOO). Because SVOO can progress after the Fontan procedure if there is morphologic obstruction, we have adopted a policy of relieving obstructions to systemic blood flow. Twenty-five patients were treated by the Fontan procedure with SVOO. Twenty-one patients had undergone prior pulmonary artery banding and 10 patients had undergone prior arch repair. Systemic ventricular outflow obstruction progressed in 5 patients after the Fontan procedure. Main diagnosis was single ventricle in 12, tricuspid atresia in 5, transposition of the great arteries in 4, double-outlet right ventricle in 3, and common atrioventricular canal in 1. Mean age at operation was 6.5 years (range 1 to 15 years) and the average preoperative pressure gradient across the ascending aorta and systemic ventricle was 29 mm Hg (range 0 to 100 mm Hg). The Damus-Kaye-Stansel procedure was performed in 18 patients (double-barrel anastomosis in 13, end to side anastomosis in 5), and subaortic resection or ventricular septal defect or bulboventricular for...Continue Reading

References

Sep 1, 1991·The Annals of Thoracic Surgery·J J LambertiS E Kirkpatrick
Dec 1, 1994·The Annals of Thoracic Surgery·T L CarterJ J Lamberti
Feb 1, 1997·The Journal of Thoracic and Cardiovascular Surgery·Y ImaiJ Ohta
Sep 2, 1998·The Annals of Thoracic Surgery·R M Freedom
Apr 20, 2001·The Annals of Thoracic Surgery·R H PassA J Hordof

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Citations

Jul 29, 2003·Nephrology News & Issues·Barbara Yergin
May 11, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bahaaldin AlsoufiZohair Al-Halees
Sep 11, 2014·The Korean Journal of Thoracic and Cardiovascular Surgery·Chan Kyu YangWoong-Han Kim
Apr 8, 2009·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Francois Lacour-Gayet
Sep 19, 2015·The Annals of Thoracic Surgery·Sanae YamauchiHidefumi Kishimoto
Jul 9, 2010·The Annals of Thoracic Surgery·Chun Soo ParkCheul Lee
Oct 15, 2011·The Journal of Thoracic and Cardiovascular Surgery·Masatoshi ShimadaHajime Ichikawa
Nov 1, 2013·Journal of the Saudi Heart Association·Bahaaldin Alsoufi
Aug 24, 2018·World Journal for Pediatric & Congenital Heart Surgery·Friso M RijnbergMark G Hazekamp

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