Fontan completion without surgery

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Fontan completion without surgery.

OBJECTIVE There are several modifications introduced in the preparation for a subsequent non-surgical transcatheter completion of the Fontan procedure. We report our experience with one type of the modification and the short-term results following its implementation. METHODS During bidirectional cavopulmonary connection (BCPC) an intra-atrial lateral tunnel is additionally created, as intende...

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Fontan modification for subsequent non-surgical Fontan completion.

OBJECTIVE Establishment of Fontan circulation in complex univentricular hearts often requires several surgical procedures. We developed a procedure which maintains the advantages of a staged approach, however, during the initial surgery additional preparatory measures are performed to allow subsequent non-surgical Fontan completion. METHODS The operation is a lateral baffle Fontan procedure. ...

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Fontan conversion with arrhythmia surgery.

OBJECTIVE Hemodynamic abnormalities and refractory atrial arrhythmias in patients late after the Fontan operation result in significant morbidity and mortality. We reviewed our experience with Fontan conversion and concomitant arrhythmia surgery. METHODS Between January 1996 and February 2004, 16 patients underwent Fontan conversion and arrhythmia surgery. Mean age at the initial Fontan opera...

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Fontan completion rate and outcomes after bidirectional cavo-pulmonary shunt.

OBJECTIVE To determine outcomes of patients undergoing a bidirectional cavo-pulmonary shunt (BCPS) in the Fontan era. METHODS From 1990 to 2000, 212 patients underwent a BCPS in a single institution at a mean age of 2.6+/-5 years. RESULTS Hospital mortality was 6% (13 patients). Five patients were lost to follow-up (3%). After a mean of 9+/-4 years, 15 patients had not yet been referred for...

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Fontan completion in a patient with previous liver transplantation.

We present the first case of a successful Fontan completion in a patient with previous liver transplantation. An infant with polysplenia syndrome with a functional single ventricle and biliary atresia had been surgically managed by pulmonary artery banding, Kasai operation and living donor liver transplantation. Subsequently, the patient successfully underwent bidirectional cavopulmonary shunt ...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2007

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2007.03.039