Outcomes after high risk Fontan procedure with fenestration

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Factors related to pleural effusions after Fontan procedure in the era of fenestration.

BACKGROUND Significant pleural effusions after the Fontan operation prolong hospital stay, may increase the risk of infection, and may necessitate a pleurodesis procedure. METHODS AND RESULTS From February 1991 to April 2000, 98 consecutive patients under the age of 18 years underwent the fenestrated Fontan procedure at Children's Hospital of Wisconsin. Ninety-four patients who survived at le...

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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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transcatheter closure of fenestration after modified fontan operation in children

background: fenestration in the modified fontan operation allows right-to-left shunting, which reduces the fontan pathway pressure and improves cardiac output. however, on account of the fact that persistent right-to-left shunting results in cyanosis and paradoxical emboli, fenestration closure is recommended after recovery from the fontan operation. methods: this study recruited 3 patients who...

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Fenestration improves clinical outcome of the fontan procedure: a prospective, randomized study.

BACKGROUND The Fontan procedure is the definitive operation for palliation of complex congenital heart disease with single-ventricle physiology. Fenestration of the Fontan circuit allows for shunting of deoxygenated blood to the systemic circulation. This procedure improved the clinical outcomes of patients who are at high risk for poor Fontan results. However, it is controversial whether fenes...

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Late status of Fontan patients with persistent surgical fenestration.

OBJECTIVES This study was undertaken to determine the effects of creating a systemic-to-pulmonary venous atrial-level communication (fenestration) at the time of the Fontan procedure on late outcomes. BACKGROUND Fenestrations are frequently performed during Fontan procedures, but late consequences are not well described. METHODS Patient characteristics were compared between those with and w...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1996

ISSN: 0735-1097

DOI: 10.1016/s0735-1097(96)80426-8