Does the Nakata index predict outcome after Fontan operation?

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Does the Nakata index predict outcome after Fontan operation?

We read with interest the article by Adachi et al. ‘Preoperative small pulmonary artery did not affect the midterm results of Fontan operation’ [1]. One of the main messages of the article is that Fontan operation can be successfully performed in patients with a preoperative PA index smaller than 250 mm/m. Further, the authors note that decreased pulmonary artery index postoperatively does not ...

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Outcome after a "perfect" Fontan operation.

A study was undertaken to determine the early and long-term outcomes dictated by the Fontan state per se (a state in which the force driving pulmonary blood flow is solely or largely a residue, in the systemic venous pressure, of the main ventricular chamber's contractile force) and the transition (by surgery) to it from the state of congenital heart disease under optimal conditions (after a "p...

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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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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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[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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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2008

ISSN: 1010-7940

DOI: 10.1016/j.ejcts.2008.01.031