1762 Effect of Baffle Fenestration on Outcome of the Modified Fontan Operation
نویسندگان
چکیده
Background. The "fenestrated Fontan" (surgical baffle fenestration followed by transcatheter test occlusion and permanent closure after postoperative recovery) was adopted in an effort to reduce perioperative mortality and morbidity. This study assesses the effect of baffle fenestration on outcome. Methods and Results. Patients having a modified Fontan operation with a cavocaval baffle and cavopulmonary anastomosis were retrospectively selected for study. Those with baffle fenestration (n=91)
منابع مشابه
Diagnosis, treatment, and long-term follow up of a patient with a hydatid cyst of the left ventricle.
1 Hill D, Feldt R, Porter C, Puga F, Danielson G, Perrault J. Protein-losing enteropathy after Fontan operation: a preliminary report. Circulation 1989;80(suppl II):490. 2 Rothman A, Snyder J. Protein-losing enteropathy following the Fontan operation: resolution with prednisone therapy. Am HeartJ 1991;121:618-619. 3 Rychick J, Piccoli DA, Barber G. Usefulness of corticosteroid therapy for prote...
متن کاملEffect of baffle fenestration on outcome of the modified Fontan operation.
BACKGROUND The "fenestrated Fontan" (surgical baffle fenestration followed by transcatheter test occlusion and permanent closure after postoperative recovery) was adopted in an effort to reduce perioperative mortality and morbidity. This study assesses the effect of baffle fenestration on outcome. METHODS AND RESULTS Patients having a modified Fontan operation with a cavocaval baffle and cavo...
متن کاملPredictors of outcome after the Fontan operation: is hypoplastic left heart syndrome still a risk factor?
OBJECTIVE This study was undertaken to evaluate factors contributing to a decrease in early mortality and morbidity after the Fontan procedure between January 1, 1992, and December 31, 1999. METHODS Outcomes evaluated were early survival, duration of pleural effusions, and duration of hospitalization. Potential predictors evaluated included anatomic diagnosis, presence of a common atrioventri...
متن کاملBaffle fenestration with subsequent transcatheter closure. Modification of the Fontan operation for patients at increased risk.
Ventricular dysfunction, elevated pulmonary vascular resistance, and residual distal pulmonary artery distortion contribute to early mortality after a Fontan operation; they may be transient or reversible. A baffle fenestration, allowing right-to-left shunting, maintains cardiac output and limits right atrial pressure. A baffle fenestration was surgically created at the time of a modified Fonta...
متن کاملTranscatheter Closure Modification of the Fontan Operation for Patients at Increased Risk
Ventricular dysfunction, elevated pulmonary vascular resistance, and residual distal pulmonary artery distortion contribute to early mortality after a Fontan operation; they may be transient or reversible. A baffle fenestration, allowing right-to-left shunting, maintains cardiac output and limits right atrial pressure. A baffle fenestration was surgically created at the time of a modified Fonta...
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