The Fontan procedure: lessons from the past

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The Fontan procedure: lessons from the past.

The Fontan circulation was one of the “big ideas” in congenital heart disease in the 1970s. This completely novel type of circulation was at first the source of some astonishment but, gradually, understanding of its properties progressed and there is now an expanding cohort of patients followed up with stable Fontan circulations. In 1990, on the basis of an observational study of the survival a...

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During the years following the Second World War, members of the English teaching community in London, often within the London Association for the Teaching of English, conducted work which led to a “new” English for the emerging comprehensive school system. Such work was rooted in the belief that English teaching should be responsive to the culture, class, language and experience of children. Co...

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Lessons from the past.

This article considers errors of care in neonatology. In the 19th century errors that resulted in high infant mortality were shaped by the social environment, and in this setting the development of the incubator failed. In the early 20th century, with the emergence of the modern hospital as a technological, science-driven system, physicians had more control of patients' environments, and thus m...

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Arrhythmias after the Fontan procedure.

OBJECTIVE To study the determinants and outcome of arrhythmias after the Fontan type operation. DESIGN Retrospective analysis of data in patients operated on between 1972 and 1986 (follow up 5-19 years (mean 12 years)). PATIENTS All 60 patients undergoing a Fontan type procedure at the National Heart Hospital, London, during the study period (mean age (SD) 12.3 (6.8) years). RESULTS Posto...

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The Fontan procedure in adults.

SETTING Tertiary adult congenital cardiac referral centre. DESIGN Retrospective cross sectional analysis. OBJECTIVES To report our 20 year experience with adult Fontan operations, and to compare late outcome in patients with single ventricle with definitive aortopulmonary or cavopulmonary shunt palliation. PATIENTS AND MAIN OUTCOME MEASURES Patients older than 18 years undergoing Fontan o...

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ژورنال

عنوان ژورنال: Heart

سال: 1998

ISSN: 1355-6037

DOI: 10.1136/hrt.79.3.213