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Related Experiment Video

Updated: Jul 7, 2026

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
06:29

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

Protocols associated with no mortality in 100 consecutive Fontan procedures.

Marshall L Jacobs1, Glenn J Pelletier, Kamal K Pourmoghadam

  • 1The Heart Center for Children, St. Christopher's Hospital for Children, Drexel University College of Medicine, Erie Avenue at Front Street, Philadelphia, PA 19134, USA. marshall.jacobs@tenethealth.com

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|February 5, 2008
PubMed
Summary

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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

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This study demonstrates a zero-mortality rate for 100 consecutive Fontan procedures using specific operative and intensive care protocols. These strategies successfully managed high-risk pediatric cardiac surgery patients, including those with complex anatomy.

Area of Science:

  • Pediatric Cardiac Surgery
  • Congenital Heart Disease Management
  • Cardiovascular Surgery Outcomes

Background:

  • The Fontan procedure is a complex surgery for single-ventricle congenital heart defects.
  • While outcomes have improved, perioperative mortality remains a concern due to complications like ventricular dysfunction and multi-organ failure.
  • Optimized perioperative management protocols are crucial for improving Fontan procedure survival rates.

Purpose of the Study:

  • To evaluate the efficacy of a standardized operative and intensive care unit (ICU) management protocol for the Fontan procedure.
  • To assess the feasibility of achieving zero mortality in a consecutive series of Fontan operations, including high-risk patients.

Main Methods:

  • A cohort of 100 consecutive Fontan operations were performed between 1996 and 2006.

Related Experiment Videos

Last Updated: Jul 7, 2026

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
06:29

Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring

Published on: May 2, 2025

  • The protocol involved specific surgical techniques such as aortic and single atrial cannulation, hypothermic circulatory arrest, and avoidance of central venous lines.
  • Postoperative care included prolonged inotropic/vasodilator support, exclusive aspirin use for anti-thrombotic therapy, and small pigtail catheters for pleural drainage.

    • Main Results:

    • The study achieved zero mortality in 100 consecutive Fontan operations.
    • All patients were extubated on postoperative day 1, with an average hospital stay of 10 days.
    • Minor complications included bleeding, reintubation, pericardial effusion, and seizures; no high-risk candidates were excluded.

    Conclusions:

    • The implemented operative and ICU management strategies enable the safe performance of the Fontan procedure in diverse and high-risk patient groups.
    • These protocols have demonstrated the potential to eliminate operative mortality in consecutive Fontan operations.