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Recent results with the modified Fontan operation

Malm, T LU ; Pawade, A; Karl, T R and Mee, R B (1993) In Scandinavian Journal of Thoracic and Cardiovascular Surgery1967-01-01+01:001997-01-01+01:00 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.

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author
publishing date
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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 Surgery1967-01-01+01:001997-01-01+01:00
volume
27
issue
2
pages
6 pages
publisher
Taylor & Francis
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
2019-03-07 04:00:19
@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},
  keyword      = {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 Surgery1967-01-01+01:001997-01-01+01:00},
  title        = {Recent results with the modified Fontan operation},
  url          = {http://dx.doi.org/10.3109/14017439309098693},
  volume       = {27},
  year         = {1993},
}