Recent results with the modified Fontan operation
(1993) In Scandinavian Journal of Thoracic and Cardiovascular Surgery 27(2). p.65-70- Abstract
From Jan 1989 to December 1991, 61 patients had modified Fontan procedures for a variety of lesions, including tricuspid atresia (18), mitral atresia (3), double inlet ventricle (14), isomeric hearts (4) and others (22). The hospital mortality was 1.6% (70% CL.0.2-5.3%). There were 2 late deaths. The median age at operation was 3.7 years (mean 5.6, range 1.5 to 20.3 years). There were two late failures at 2 months and 30 months after the operation, requiring take down of the Fontan in one and heart transplantation in the other. The 89% of the patients followed up are in NYHA class I or II at a mean follow up of 21.5 months (range 3-35 months). This suggests that the modified Fontan operation performed with the current patient selection... (More)
From Jan 1989 to December 1991, 61 patients had modified Fontan procedures for a variety of lesions, including tricuspid atresia (18), mitral atresia (3), double inlet ventricle (14), isomeric hearts (4) and others (22). The hospital mortality was 1.6% (70% CL.0.2-5.3%). There were 2 late deaths. The median age at operation was 3.7 years (mean 5.6, range 1.5 to 20.3 years). There were two late failures at 2 months and 30 months after the operation, requiring take down of the Fontan in one and heart transplantation in the other. The 89% of the patients followed up are in NYHA class I or II at a mean follow up of 21.5 months (range 3-35 months). This suggests that the modified Fontan operation performed with the current patient selection criteria can be performed with a low mortality and that the early results are encouraging in the majority of the patients.
(Less)
- author
- Malm, T LU ; Pawade, A ; Karl, T R and Mee, R B
- publishing date
- 1993
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent, Adult, Blood Pressure, Cardiac Surgical Procedures/methods, Child, Child, Preschool, Female, Follow-Up Studies, Heart Defects, Congenital/mortality, Humans, Infant, Male, Postoperative Care, Pulmonary Artery/physiology, Reoperation, Treatment Outcome, Ventricular Function, Left/physiology, Ventricular Function, Right/physiology
- in
- Scandinavian Journal of Thoracic and Cardiovascular Surgery
- volume
- 27
- issue
- 2
- pages
- 6 pages
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:0027165582
- pmid:8211007
- ISSN
- 0036-5580
- DOI
- 10.3109/14017439309098693
- language
- English
- LU publication?
- no
- id
- 404c36fa-20af-444b-90c0-e62e9fe6cdfa
- date added to LUP
- 2018-12-05 15:30:14
- date last changed
- 2024-01-15 09:07:00
@article{404c36fa-20af-444b-90c0-e62e9fe6cdfa,
abstract = {{<p>From Jan 1989 to December 1991, 61 patients had modified Fontan procedures for a variety of lesions, including tricuspid atresia (18), mitral atresia (3), double inlet ventricle (14), isomeric hearts (4) and others (22). The hospital mortality was 1.6% (70% CL.0.2-5.3%). There were 2 late deaths. The median age at operation was 3.7 years (mean 5.6, range 1.5 to 20.3 years). There were two late failures at 2 months and 30 months after the operation, requiring take down of the Fontan in one and heart transplantation in the other. The 89% of the patients followed up are in NYHA class I or II at a mean follow up of 21.5 months (range 3-35 months). This suggests that the modified Fontan operation performed with the current patient selection criteria can be performed with a low mortality and that the early results are encouraging in the majority of the patients.</p>}},
author = {{Malm, T and Pawade, A and Karl, T R and Mee, R B}},
issn = {{0036-5580}},
keywords = {{Adolescent; Adult; Blood Pressure; Cardiac Surgical Procedures/methods; Child; Child, Preschool; Female; Follow-Up Studies; Heart Defects, Congenital/mortality; Humans; Infant; Male; Postoperative Care; Pulmonary Artery/physiology; Reoperation; Treatment Outcome; Ventricular Function, Left/physiology; Ventricular Function, Right/physiology}},
language = {{eng}},
number = {{2}},
pages = {{65--70}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Thoracic and Cardiovascular Surgery}},
title = {{Recent results with the modified Fontan operation}},
url = {{http://dx.doi.org/10.3109/14017439309098693}},
doi = {{10.3109/14017439309098693}},
volume = {{27}},
year = {{1993}},
}