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Fontan Operation and the Single Ventricle
Congenital Heart Disease, 2007 The Fontan operation has gone through multiple incarnations since Fontan and Baudet's initial description in 1971. Through the medical dossier of a patient with a single ventricle, we plot the history of medical, surgical, and percutaneous interventions over the past 40 years, specifically focusing on the Fontan procedure, its development, indications,
Jamil Aboulhosn +2 more
exaly +3 more sources
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The adult with a Fontan operation
Current Cardiology Reports, 2007Since 1971, the Fontan operation has been performed for the repair of single-ventricle physiology. This ingenious operation commits a single ventricle to the systemic circulation and takes advantage of cardiovascular and respiratory physiology to propel deoxygenated blood to the lungs, thus minimizing right-to-left shunting and cyanosis.
Jamil Aboulhosn +2 more
exaly +3 more sources
Pregnancy in patients with the Fontan operation
European Journal of Preventive CardiologyAbstract Improved survival rates for patients with a Fontan circulation has allowed more women with this complex cardiac physiology to contemplate pregnancy. However, pregnancy in women with a Fontan circulation is associated with a high risk of adverse maternal and foetal outcomes, high rates of miscarriage, and preterm delivery ...
Claudia Montanaro +2 more
exaly +3 more sources
Experiences with the Fontan Operation
The Thoracic and Cardiovascular Surgeon, 1982Up to December 1980 we performed 21 Fontan operations: 8 for tricuspid atresia and 13 for a functional monoventricle. Although palliative, the operation is currently a good method of treating tricuspid atresia. In our experience, the use of a sufficiently large atriopulmonary valved conduit assures a more satisfactory immediate postoperative ...
EIJGELAAR, A +5 more
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Pediatric Cardiac Surgery Annual of the Seminars in Thoracic and Cardiovascular Surgery, 2003
In hearts with a functional single ventricle, cavity volume and myocardial muscle mass increase as a consequence of the excessive volume load associated with parallel pulmonary and systemic circulations. The hemi-Fontan operation was conceived as a means of accomplishing early reduction of the volume work of the single ventricle, in anticipation of ...
Marshall L, Jacobs +1 more
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In hearts with a functional single ventricle, cavity volume and myocardial muscle mass increase as a consequence of the excessive volume load associated with parallel pulmonary and systemic circulations. The hemi-Fontan operation was conceived as a means of accomplishing early reduction of the volume work of the single ventricle, in anticipation of ...
Marshall L, Jacobs +1 more
openaire +2 more sources
Vasopressin After the Fontan Operation
World Journal for Pediatric and Congenital Heart Surgery, 2015Background: Prolonged pleural effusion following Fontan operation is common and increases morbidity and hospital length of stay. Vasopressin (VP), a neurohypophysial hormone, has numerous effects on the cardiovascular system.
T K Susheel, Kumar +8 more
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European Surgery, 1993
From November 1988 to October 1991 30 patients underwent a total extracardiac right heart bypass for complex cardiac anomalies by means of bidirectional cavopulmonary anastomosis and interposition of a conduit from the inferior vena cava to the pulmonary artery. Mean age at surgery was 6.4 years and mean weight 19.2 kg.
A. Amodeo +3 more
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From November 1988 to October 1991 30 patients underwent a total extracardiac right heart bypass for complex cardiac anomalies by means of bidirectional cavopulmonary anastomosis and interposition of a conduit from the inferior vena cava to the pulmonary artery. Mean age at surgery was 6.4 years and mean weight 19.2 kg.
A. Amodeo +3 more
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Early experience with extracardiac Fontan operation
The Annals of Thoracic Surgery, 2001The extracardiac Fontan (ECFO) operation has gained more widespread use over last decade. In this article we analyze our early experience with ECFO.Thirty-three patients underwent ECFO at median age 4.1 years. Normothermic perfusion with the heart beating was used in 24 patients and cardioplegia in 7.
V, Alexi-Meskishvili +4 more
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2017
Aortopathy has been recognized as one of the major pathophysiologic features in patients with congenital heart disease (CHD) that includes dilatation and/or increased stiffness of the aorta. A body of evidence of “aortopathy” has been also reported in patients after the Fontan operation and most of studies had focused on the dilated stiffened ascending
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Aortopathy has been recognized as one of the major pathophysiologic features in patients with congenital heart disease (CHD) that includes dilatation and/or increased stiffness of the aorta. A body of evidence of “aortopathy” has been also reported in patients after the Fontan operation and most of studies had focused on the dilated stiffened ascending
openaire +1 more source
Subaortic obstruction and the fontan operation
The Annals of Thoracic Surgery, 1998Systemic outflow tract obstruction in the heart with a functional single ventricle promotes myocardial hypertrophy, and this has been shown to be an unequivocal risk factor for poor outcome at Fontan procedure. Such systemic outflow tract obstruction may be congenital or acquired.
openaire +2 more sources