Pulmonary artery banding and fontan operation. Extent of banding and indication for Fontan operation.

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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.

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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Pulmonary artery size and late functional outcome after Fontan operation.

BACKGROUND Pulmonary artery (PA) growth after a Fontan procedure tends to be suboptimal to somatic growth. This study aimed to investigate whether the PA size affects the late outcomes of the Fontan procedure. METHODS This study enrolled 120 Fontan patients. Their mean age was 19.3 ± 5.6 years. PA size was measured from computed tomographic images. Patients were divided into three groups acco...

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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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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: Japanese Journal of Cardiovascular Surgery

سال: 1991

ISSN: 1883-4108,0285-1474

DOI: 10.4326/jjcvs.20.812