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[Fontan procedure: early and mid-term results with total cavopulmonary anastomosis].
Rev Med Chil. 2002 Nov; 130(11):1217-26.RM

Abstract

BACKGROUND

During the last five years, 65 patients with univentricular heart have been treated surgically in our institution, according to a protocol of staged operations that have been previously reported.

AIM

To evaluate the early and mid-term outcome of those patients that have completed their staging protocol by means of a Fontan procedure.

PATIENTS AND METHODS

Between April 1996 and June 2001, 23 patients (age 16 to 223 months) underwent a Fontan procedure, 15 with an intracardiac lateral tunnel technique and 8 with an extracardiac conduit. A retrospective review of their clinical, surgical, echocardiographic, angiographic and hemodynamic data was performed, trying to identify risk factors for both mortality and functional capacity (FC). Follow up was complete in all survivors.

RESULTS

Three patients died early after surgery (13.04%). Excessive pulmonary blood flow was a risk factor for early death (p = 0.03). One patient died at 14 months. Follow up was 29.9 months (1-63). For those who survived the operation, five years survival was 93.3%. The majority of patients are in FC I or II, with no related risk factors.

CONCLUSIONS

Our current results are comparable with those of larger series. Patients reach good FC and mid-term survival, irrespective of type of single ventricle or the surgical strategy.

Authors+Show Affiliations

Departamento de Enfermedades Cardiovasculares, Departamento de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Hospital Dr. Sótero del Río. pbecker@med.puc.clNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

12587503

Citation

Becker, Pedro, et al. "[Fontan Procedure: Early and Mid-term Results With Total Cavopulmonary Anastomosis]." Revista Medica De Chile, vol. 130, no. 11, 2002, pp. 1217-26.
Becker P, Frangini P, Urcelay G, et al. [Fontan procedure: early and mid-term results with total cavopulmonary anastomosis]. Rev Med Chil. 2002;130(11):1217-26.
Becker, P., Frangini, P., Urcelay, G., Castillo, M. E., Heusser, F., Arnaiz, P., Irarrázaval, M. J., Morán, S., Zalaquett, R., Maturana, G., & Arretz, C. (2002). [Fontan procedure: early and mid-term results with total cavopulmonary anastomosis]. Revista Medica De Chile, 130(11), 1217-26.
Becker P, et al. [Fontan Procedure: Early and Mid-term Results With Total Cavopulmonary Anastomosis]. Rev Med Chil. 2002;130(11):1217-26. PubMed PMID: 12587503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Fontan procedure: early and mid-term results with total cavopulmonary anastomosis]. AU - Becker,Pedro, AU - Frangini,Patricia, AU - Urcelay,Gonzalo, AU - Castillo,M Elisa, AU - Heusser,Felipe, AU - Arnaiz,Pilar, AU - Irarrázaval,Manuel J, AU - Morán,Sergio, AU - Zalaquett,Ricardo, AU - Maturana,Gustavo, AU - Arretz,Claudio, PY - 2003/2/18/pubmed PY - 2003/4/4/medline PY - 2003/2/18/entrez SP - 1217 EP - 26 JF - Revista medica de Chile JO - Rev Med Chil VL - 130 IS - 11 N2 - BACKGROUND: During the last five years, 65 patients with univentricular heart have been treated surgically in our institution, according to a protocol of staged operations that have been previously reported. AIM: To evaluate the early and mid-term outcome of those patients that have completed their staging protocol by means of a Fontan procedure. PATIENTS AND METHODS: Between April 1996 and June 2001, 23 patients (age 16 to 223 months) underwent a Fontan procedure, 15 with an intracardiac lateral tunnel technique and 8 with an extracardiac conduit. A retrospective review of their clinical, surgical, echocardiographic, angiographic and hemodynamic data was performed, trying to identify risk factors for both mortality and functional capacity (FC). Follow up was complete in all survivors. RESULTS: Three patients died early after surgery (13.04%). Excessive pulmonary blood flow was a risk factor for early death (p = 0.03). One patient died at 14 months. Follow up was 29.9 months (1-63). For those who survived the operation, five years survival was 93.3%. The majority of patients are in FC I or II, with no related risk factors. CONCLUSIONS: Our current results are comparable with those of larger series. Patients reach good FC and mid-term survival, irrespective of type of single ventricle or the surgical strategy. SN - 0034-9887 UR - https://www.unboundmedicine.com/medline/citation/12587503/[Fontan_procedure:_early_and_mid_term_results_with_total_cavopulmonary_anastomosis]_ L2 - https://medlineplus.gov/congenitalheartdefects.html DB - PRIME DP - Unbound Medicine ER -