The bidirectional Glenn operation may be particularly useful as an intermediate procedure before Fontan correction in high-risk patients. From October 1989 through February 1992, 50 patients 1 to 60 months old (median 12) have undergone a bidirectional Glenn operation. Diagnoses included hypoplastic left heart syndrome in 21 patients, pulmonary atresia with intact ventricular septum in 10, tric...

OBJECTIVES The study objectives were to compare the neurodevelopmental outcomes of preschool survivors of the Fontan procedure with those of children with congenital heart disease undergoing biventricular repair and to investigate predictors of neurodevelopmental outcome for those with single ventricle congenital heart disease, including hypoplastic left heart syndrome. METHODS Neurodevelopme...

T he Fontan procedure has been extensively used for palliation of patients with univentricular heart defects. Thrombi and thromboembolic complications have been frequently reported after this operation. Magnetic resonance imaging (MRI) has been shown to be very useful in patients with congenital heart disease and also in the detection of intracardiac masses and thrombosis. We describe for the f...

complexity of some congenital heart diseases sometimes necessitates a combination of interventional procedures and surgery, amongst which intraoperative stent implantation is one of the most common. we herein report a successful hybrid procedure in a cyanotic adult patient who had undergone no procedure in childhood. the patient was a 24-year-old cyanotic male (oxygen saturation in the room air...

Fontan procedure is widely accepted surgical for patients with single ventricle pathology, however the safety profile among adults not well known. This analysis included data from National Inpatient Sample between January 2009 and December 2020. We reported baseline characteristics hospital outcomes of fontan procedure. also studied mortality trends throughout years. identified 500 that underwe...

According to the National Heart Lung and Blood Institute, more than 30,000 newborns in the United States are born with Congenital Heart Defects (CHDs) every year. The Total Cavo-pulmonary Connection (TCPC) or the Fontan operation is a widely employed procedure to palliate CHD conditions. Two variants of this procedure are currently in use namely the intra-atrial TCPC and the extra-cardiac TCPC....

OBJECTIVE The extracardiac conduit procedure is widely used for patients with heterotaxy syndrome with complex systemic and pulmonary venous anomalies; however, it lacks conduit-growth potential and requires long-term anticoagulation. We present the intracardiac Fontan procedure, which eliminates the above-mentioned disadvantages. PATIENTS AND METHODS Twenty-four patients (mean age, 4.1 years...