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Comparison of lateral tunnel and extracardiac conduit Fontan procedure.
Interact Cardiovasc Thorac Surg. 2007 Jun; 6(3):328-30.IC

Abstract

The purpose of this study was to compare the outcomes of lateral tunnel (LT) and extracardiac conduit (ECC) Fontan procedures at a single institution. From April 1995 to December 2006, 165 Fontan procedures were performed (67 LT, 98 ECC). Pre-, intra- and postoperative variable values were compared between two different techniques. Operative mortality was 5 (3 LT, 2 ECC). Immediate postoperative transpulmonary gradient (LT 8.5+/-ECC 2.5 vs. 6.6+/-2.4 mmHg) and central venous pressure (LT 18.3+/-3.8 vs. ECC 15.6+/-2.4 mmHg) showed significant difference (P<0.001). The LT patients had a higher incidence of sinus node dysfunction in the postoperative period (22.4% vs. ECC 11.2%; P=0.05). Mean follow-up was 74.1+/-31.5 months in LT, and 31.7+/-28.1 months in ECC patients. There was one late death. Actuarial survival at 10 years is 92% for LT, and 89% for ECC patients (P=0.796). The LT and ECC, both, showed comparable early and mid-term outcomes in operative morbidity and mortality, postoperative hemodynamics, survival. Use of ECC for modified Fontan operation reduces the risk of sinus node dysfunction and shows better outcome of immediate postoperative hemodynamics.

Authors+Show Affiliations

Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul National University Clinical Research Institute, Jongro-gu, South Korea. jrl@plaza.snu.ac.krNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17669857

Citation

Lee, Jeong Ryul, et al. "Comparison of Lateral Tunnel and Extracardiac Conduit Fontan Procedure." Interactive Cardiovascular and Thoracic Surgery, vol. 6, no. 3, 2007, pp. 328-30.
Lee JR, Kwak J, Kim KC, et al. Comparison of lateral tunnel and extracardiac conduit Fontan procedure. Interact Cardiovasc Thorac Surg. 2007;6(3):328-30.
Lee, J. R., Kwak, J., Kim, K. C., Min, S. K., Kim, W. H., Kim, Y. J., & Rho, J. R. (2007). Comparison of lateral tunnel and extracardiac conduit Fontan procedure. Interactive Cardiovascular and Thoracic Surgery, 6(3), 328-30.
Lee JR, et al. Comparison of Lateral Tunnel and Extracardiac Conduit Fontan Procedure. Interact Cardiovasc Thorac Surg. 2007;6(3):328-30. PubMed PMID: 17669857.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of lateral tunnel and extracardiac conduit Fontan procedure. AU - Lee,Jeong Ryul, AU - Kwak,JaeGun, AU - Kim,Kwan Chang, AU - Min,Sun Kyoung, AU - Kim,Woong-Han, AU - Kim,Yong Jin, AU - Rho,Joon Ryang, Y1 - 2007/03/15/ PY - 2007/8/3/pubmed PY - 2007/9/29/medline PY - 2007/8/3/entrez SP - 328 EP - 30 JF - Interactive cardiovascular and thoracic surgery JO - Interact Cardiovasc Thorac Surg VL - 6 IS - 3 N2 - The purpose of this study was to compare the outcomes of lateral tunnel (LT) and extracardiac conduit (ECC) Fontan procedures at a single institution. From April 1995 to December 2006, 165 Fontan procedures were performed (67 LT, 98 ECC). Pre-, intra- and postoperative variable values were compared between two different techniques. Operative mortality was 5 (3 LT, 2 ECC). Immediate postoperative transpulmonary gradient (LT 8.5+/-ECC 2.5 vs. 6.6+/-2.4 mmHg) and central venous pressure (LT 18.3+/-3.8 vs. ECC 15.6+/-2.4 mmHg) showed significant difference (P<0.001). The LT patients had a higher incidence of sinus node dysfunction in the postoperative period (22.4% vs. ECC 11.2%; P=0.05). Mean follow-up was 74.1+/-31.5 months in LT, and 31.7+/-28.1 months in ECC patients. There was one late death. Actuarial survival at 10 years is 92% for LT, and 89% for ECC patients (P=0.796). The LT and ECC, both, showed comparable early and mid-term outcomes in operative morbidity and mortality, postoperative hemodynamics, survival. Use of ECC for modified Fontan operation reduces the risk of sinus node dysfunction and shows better outcome of immediate postoperative hemodynamics. SN - 1569-9285 UR - https://www.unboundmedicine.com/medline/citation/17669857/Comparison_of_lateral_tunnel_and_extracardiac_conduit_Fontan_procedure_ L2 - https://academic.oup.com/icvts/article-lookup/doi/10.1510/icvts.2006.146928 DB - PRIME DP - Unbound Medicine ER -