Which criteria should be used to select patients for the Fontan operation?

Autor: Almodovar MC; Department of Pediatrics, University of Miami Miller School of Medicine, Miami, Florida, USA., Mulinari L; Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Jazyk: angličtina
Zdroj: Journal of cardiac surgery [J Card Surg] 2021 Mar; Vol. 36 (3), pp. 950-951. Date of Electronic Publication: 2021 Jan 08.
DOI: 10.1111/jocs.15289
Abstrakt: The Fontan operation has improved the survival of children born with single ventricle physiology. Selecting candidates for the Fontan operation may be difficult on borderline cases. No clear criterion has been established on the risk for staged Fontan palliation. Another aspect that remains controversial is the indications for fenestration. Intraoperative pulmonary flow study may identify high-risk patients for the procedure. In this report, the authors describe their results with Fontan procedures in children with pulmonary pressure >15 mmHg.
(© 2021 Wiley Periodicals LLC.)
Databáze: MEDLINE
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