Fontan operation in infancy

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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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Tricuspid atresia presenting in infancy. Survival and suitability for the Fontan operation.

BACKGROUND The Fontan operation is the usual goal of therapy for children with tricuspid atresia. The influences of morphology and different management strategies on survival and subsequent suitability for this procedure are crucial but unstudied in an unselected population during the Fontan era. METHODS AND RESULTS The fates of 237 consecutive infants with tricuspid atresia were reviewed (19...

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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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Fontan operation: a technique in evolution.

OBJECTIVES Recent experimental flow studies based on angiography and magnetic resonance have shown that total cavopulmonary anastomosis (TCPA) is a valid concept for surgical treatment of many congenital heart defects, but there is not agreement of the best surgical arrangement. Our purpose is to analyze the immediate results with three different techniques of TCPA. METHODS We sought to analy...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1992

ISSN: 0735-1097

DOI: 10.1016/0735-1097(92)90527-t