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Related Experiment Videos

Late outcome after the Fontan procedure.

John E. Mayer1

  • 1Department of Surgery, Harvard Medical School, Boston, MA.

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
|August 4, 2001
PubMed
Summary

Long-term survival after the Fontan procedure is significant, with most patients maintaining good functional status. Continued lifelong monitoring is essential for Fontan procedure patients.

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Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annualยท2001
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Area of Science:

  • Cardiology
  • Pediatric Cardiac Surgery
  • Congenital Heart Disease

Background:

  • Limited data exist on long-term outcomes following the Fontan procedure.
  • The Fontan procedure is a palliative surgery for complex congenital heart defects.

Purpose of the Study:

  • To evaluate the intermediate to late functional status and survival rates of patients who underwent the Fontan procedure.
  • To identify potential complications and long-term sequelae in this patient population.

Main Methods:

  • Retrospective review of the first 500 patients who underwent the Fontan procedure at Children's Hospital, Boston.
  • Follow-up data collection on functional status, survival, and development of complications.

Main Results:

  • A 10-year survival probability of 71.4% was observed among 410 contacted patients, with 31 late failures.
  • The majority of patients were in functional class I or II, indicating good functional capacity.
  • Protein-losing enteropathy was rare; atrial flutter developed in 16% of patients.

Conclusions:

  • Patients undergoing the Fontan procedure demonstrate a considerable long-term survival rate with generally good functional status.
  • Atrial flutter is a notable complication, and protein-losing enteropathy is infrequent.
  • Indefinite, lifelong follow-up is crucial for patients who have had a Fontan procedure to manage potential long-term complications.

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