Recent outcomes of the extracardiac Fontan procedure in patients with hypoplastic left heart syndrome.
Fontan procedure
clinical outcomes
congenital heart disease
hypoplastic left heart syndrome
Journal
Annals of pediatric cardiology
ISSN: 0974-2069
Titre abrégé: Ann Pediatr Cardiol
Pays: India
ID NLM: 101495459
Informations de publication
Date de publication:
Historique:
received:
12
01
2020
revised:
17
04
2020
accepted:
05
11
2020
entrez:
1
9
2020
pubmed:
31
8
2020
medline:
31
8
2020
Statut:
ppublish
Résumé
To investigate patient-related factors, echocardiographic, and anatomic variables associated with immediate and long-term clinical outcomes after extracardiac Fontan procedure at our institution. Retrospective review of preoperative cardiac catheterizations and echocardiograms as well as medical records of all children with hypoplastic left heart syndrome (HLHS) who underwent Fontan between June 2002 and December 2018. Seventy-seven patients with HLHS were included (age 4 years [1.5-11.7]). Seventy patients (91%) received a nonfenestrated Fontan and 57 patients (74%) underwent Fontan without cardiopulmonary bypass (CPB). Presence of a Fontan fenestration ( In HLHS patients undergoing Fontan, preoperative weight and IVC diameter appeared to have no influence on immediate postoperative outcomes. Performing the Fontan off CPB and with a fenestration also conferred no added clinical benefit. These observations should be considered when deciding optimal timing for Fontan completion.
Identifiants
pubmed: 32863652
doi: 10.4103/apc.APC_5_20
pii: APC-13-186
pmc: PMC7437630
doi:
Types de publication
Journal Article
Langues
eng
Pagination
186-193Informations de copyright
Copyright: © 2020 Annals of Pediatric Cardiology.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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