1981
DOI: 10.1055/s-2007-1023512 View full text |Buy / Rent full text
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Abstract: Twenty-six patients with tricuspid atresia (15), univentricular heart (7), and single ventricle (4) underwent 27 Fontan or modified Fontan procedures between 1975 and 1981. The age of the patients varied between 4 and 26 years. Twenty patients had had a total of 33 palliative operations prior to correction. The original Fontan procedure was performed in 10 patients from 1975 to 1977. According to the various anatomical findings modifications of the Fontan procedure, such as direct anastomosis or implantation o… Show more

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“…Significant improvements in the management of children with various single ventricle morphologies have led to better longterm survival over the last couple of decades [1][2][3][4][5]. In the absence of septation or biventricular repair the goal of surgery is to separate pulmonary and systemic circulations; at first by connecting the superior vena cava (SVC) and the pulmonary artery and finally by connecting the inferior vena cava (IVC) to the pulmonary artery commonly known as the Fontan pathway [6]. However, repeated surgeries increase cost, morbidity, mortality and significantly impact the quality of life of these patients with poor cardiopulmonary reserve [7,8].…”
Section: Introductionmentioning
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rupbmjkragerfmgwileyiopcupepmcmbcthiemesagefrontiersapsiucrarxivemeralduhksmucshluniversity-of-gavle
“…Significant improvements in the management of children with various single ventricle morphologies have led to better longterm survival over the last couple of decades [1][2][3][4][5]. In the absence of septation or biventricular repair the goal of surgery is to separate pulmonary and systemic circulations; at first by connecting the superior vena cava (SVC) and the pulmonary artery and finally by connecting the inferior vena cava (IVC) to the pulmonary artery commonly known as the Fontan pathway [6]. However, repeated surgeries increase cost, morbidity, mortality and significantly impact the quality of life of these patients with poor cardiopulmonary reserve [7,8].…”
Section: Introductionmentioning
“…2 The Fontan is a surgical procedure frequently employed for repair of AV valve atresia or single ventricular disease. 3 This surgery involves routing the venous return of the right atrium directly to the pulmonary artery, thus bypassing the pulmonary ventricle. The atrial structures are thus subjected to extensive surgical manipulation as well as the possibility of high pressure state post surgery.…”
Section: Introductionmentioning
“…venous pressure, and sytemic vascular resistance based on Starling's theories concerning ultrafiltration in the capillaries. 9 Patients and methods At our institution, the Fontan procedure was established in 1975 10,11,12 and a total number of 110 patients have now undergone this operation or, since 1990, a total cavopulmonary connection 13 as the presently preferred surgical technique. Cardiac catheterization was performed for clinical reasons in 24 patients, 1-14 years postoperatively.…”
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