The modern Fontan operation shows no increase in mortality out to 20 years: A new paradigm

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Clinical outcome of patients 20 years after Fontan operation--effect of fenestration on late morbidity.

OBJECTIVE The Fontan operation has been proposed as definitive palliation for an increasing variety of hearts with complex univentricular anatomy, but late morbidity after Fontan operation is still a matter of concern. This retrospective study evaluates the late outcome in patients with Fontan circulation. METHODS We included 121 consecutive patients that underwent Fontan operation between 19...

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Protocols associated with no mortality in 100 consecutive Fontan procedures.

OBJECTIVES Results of Fontan's procedure have improved considerably, but perioperative mortality still occurs, attributed to ventricular dysfunction, stroke, arrhythmia, thromboembolism, and multi-organ dysfunction. Our protocols of operative and intensive care unit management address these potential issues, and have been associated with zero mortality, even with many high-risk candidates. ME...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2014

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2014.07.075