Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Interventions associated with minimal fontan mortality.

G S Van Arsdell1, B W McCrindle, K D Einarson

  • 1Division of Cardiovascular Surgery, The Hospital for Sick Children and the University of Toronto, Ontario, Canada. glen.vanarsdell@sickkids.on.ca

The Annals of Thoracic Surgery
|September 2, 2000
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Vancouver B and C periprosthetic fractures around the cemented Exeter Stem: sex is associate with fracture pattern.

Archives of orthopaedic and trauma surgery·2021
Same author

Magnetic resonance imaging reveals elevated aortic pulse wave velocity in obese and overweight adolescents.

Clinical obesity·2017
Same author

Right ventricular function during exercise in children after heart transplantation.

European heart journal. Cardiovascular Imaging·2017
Same author

Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention after Kawasaki Disease: The Pediatric Canadian Series.

Pediatric cardiology·2016
Same author

Risk factors for specific causes of death following pediatric heart transplant: An analysis of the registry of the International Society of Heart and Lung Transplantation.

Pediatric transplantation·2015
Same author

Development and Impact of De Novo Anti-HLA Antibodies in Pediatric Heart Transplant Recipients.

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons·2015

The Fontan procedure

Area of Science:

  • Pediatric Cardiology
  • Cardiac Surgery
  • Congenital Heart Disease

Background:

  • The Fontan procedure is a complex surgical intervention for congenital heart defects.
  • Initial operative mortality rates were high (15%) but improved significantly over time.

Purpose of the Study:

  • To investigate factors associated with the observed decline in Fontan procedure mortality.
  • To identify interventions contributing to improved patient outcomes.

Main Methods:

  • Retrospective review of 100 consecutive Fontan procedure cases.
  • Comparison of patient characteristics and perioperative management between early and later cohorts.

Main Results:

  • Mortality decreased from 16% to 0% between the first and second 50 patients.

Related Experiment Videos

  • Increased use of extracardiac Fontan, prior cavopulmonary anastomosis, shorter bypass times, magnesium-rich cardioplegia, and post-bypass ultrafiltration were noted in the lower-mortality group.
  • No significant differences in patient age, diagnosis, or surgeon were found.

    • Conclusions:

    • Patient factors did not explain the mortality reduction.
    • Specific surgical techniques and perioperative management strategies, including extracardiac Fontan and modified ultrafiltration, are linked to reduced mortality.
    • These interventions may enhance postoperative myocardial function.