The Fontan-Operation: From Intra- to Extracardiac Procedure
| Autor: | Wlodzimierz Kuroczynski, J. Singelmann, Schmid Fx, M. Heinemann, Christoph Kampmann, Choi Yh, H. Oelert, Diethard Pruefer, R. Huth |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Heart Defects Congenital Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Adolescent medicine.medical_treatment Group ii Extracardiac conduit Fontan Procedure Intracardiac injection Fontan procedure Intraoperative Period medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Child Cardiopulmonary Bypass business.industry Infant Perioperative Surgical Injury Univentricular heart Surgery Oxygen surgical procedures operative Child Preschool cardiovascular system Female High incidence business Cardiology and Cardiovascular Medicine Follow-Up Studies |
| Zdroj: | Cardiovascular Surgery. 11:70-74 |
| ISSN: | 0967-2109 |
| DOI: | 10.1177/096721090301100113 |
| Popis: | Purpose For treatment of univentricular heart, the Fontan operation has been established as the definitive palliation. The current controversy is mainly based on the high incidence of arrhythmias after an intra-atrial lateral tunnel Fontan operation. Methods From January 1995 until April 2002. 46 children underwent a Fontan-type operation with or without a small fenestration. In 33 patients (group I) an Intracardiac tunnel and in 13 patients (group II) an extracardiac conduit procedure was performed. Principal findings There was no perioperative mortality. All patients showed postoperative a significant increase of arterial oxygen saturation, from 76 to 86% after surgery with fenestration, or to 90.5% without fenestration respectively. In patients with fenestration procedure, the saturation rose to 90% after closure of fenestrations 9 to 12 months after operation. Conclusions Modified Fontan operations can be performed in normothermia on the beating heart with acceptable mortality. The extracardiac conduit Fontan procedure has the benefits of less surgical injury and a higher intraoperative flexibility. |
| Databáze: | OpenAIRE |
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