179 POST-OPERATIVE ASSESSMENT OF FONTAN OPERATION

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Fontan operation.

D uring the past 4 decades, the Fontan operation has been carried out as a surgical treatment in patients with tricuspid atresia. Over the years, it has become established as a revolutionary therapy in patients with univentricular heart physiology. Many experimental and clinical studies have been performed with a view to understanding the Fontan circulation; in consequence, the operation has un...

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Post-operative security in cataract operation.

SINCE the article on a method of providing post-operative security in cataract operation was published in the September, 1947 issue of the Brit. JI. Ophthal., some colleagues have mentioned the difficulty of carrying the upper part of the complete conjunctival flap over the wound when drawing the purse string suture -tight after the extraction. The edge of the flap, unless guided carefully by a...

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Vasopressin After the Fontan Operation.

BACKGROUND Prolonged pleural effusion following Fontan operation is common and increases morbidity and hospital length of stay. Vasopressin (VP), a neurohypophysial hormone, has numerous effects on the cardiovascular system. The most notable is increased peripheral vascular resistance, but it may also reduce capillary leakage by tightening endothelial intercellular junctions and reducing capill...

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[Pulmonary thromboembolism after Fontan operation].

The fatal outcome in an eleven-year-old girl, one month after an extra-cardiac Fontan operation is reported. She was diagnosed with tricuspid atresia and had a Blalock Taussig shunt and a bidirectional Glenn procedure. The Fontan operation was performed using a Dacron conduit, fenestrated with a 6 mm Goretex tube. The first week after the operation she received low molecular weight heparin, the...

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Reconsideration of Criteria for the Fontan Operation

Background The outcome of the Fontan operation largely depends on patient selection because this procedure is a physiological correction. Among the several selection criteria for the Fontan operation, the importance of adequate size of the pulmonary artery remains controversial. To clarify whether or not pulmonary artery size is indispensable as one of the selection criteria for the Fontan oper...

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ژورنال

عنوان ژورنال: Pediatric Research

سال: 1981

ISSN: 0031-3998,1530-0447

DOI: 10.1203/00006450-198104001-00188