Clinical profile, surgical approach and outcomes of children with Fontan procedure in a country with limited resources

Background: For more than five decades, the Fontan or Fontan-Kreutzer procedure has been mainstay treatment for congenital heart disease with a single functioning ventricle. Data concerning epidemiological profiles are poor, especially in countries limited resources. Here, we present cases of children complex (CHD) born Kosovo who underwent some forms palliation measuring renal resistive index (RRI) to assess ventricular function and complications after procedure. Objectives: This study aimed describe primary pathology, age, place surgical intervention, outcomes Kosovo, country resources, different countries. Results: from January 2018 December 2021, 40 patients (28 male 12 female) aged 6 19 years (mean 6.03 years) total Cavo-pulmonary connection were examined insufficiency thrombotic complications. The hematological parameters analyzed as criteria possible early late Two only developed cohort group. In both cases, second third stages surgery performed late, at ages 9 years. first patient manifested severe form protein-lousing enteropathy, insufficiency, plastic bronchitis, while other presented initial signs enteropathy recurrent tachycardia. Conclusion: Survival operation our group was excellent. is closely dependent on diagnosis, associated anomalies, age palliation,