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Wireless Telemetry Device Implantation in a Fontan Ovine Model for Continuous and Long-Term Hemodynamic Monitoring
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Published on: May 2, 2025

Fontan operation. Hemodynamic factors associated with postoperative outcomes

Alberto Mendoza1, Leticia Albert, Enrique Ruiz

  • 1Instituto Pediátrico del Corazón, Hospital 12 de Octubre, Madrid, Spain. amendozas.hdoc@salud.madrid.org

Revista Espanola De Cardiologia (English Ed.)
|February 14, 2012
PubMed

Insights

The Fontan operation for univentricular heart disease has low hospital mortality. Preoperative hemodynamic assessment identifies high-risk patients, improving outcomes through interventions.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease Surgery
  • Cardiovascular Physiology

Background:

  • The Fontan operation is a critical palliative procedure for complex univentricular heart conditions.
  • Patients often undergo a bidirectional Glenn procedure before the Fontan operation.
  • Understanding clinical and hemodynamic factors is crucial for optimizing Fontan outcomes.

Purpose of the Study:

  • To characterize patients with univentricular physiology post-bidirectional Glenn procedure.
  • To identify risk factors impacting postoperative outcomes following the Fontan operation.
  • To evaluate the role of preoperative assessment in Fontan surgery success.

Main Methods:

  • Retrospective analysis of 32 patients undergoing Fontan operation (2000-2009).
  • Review of clinical data, catheterization results, and surgical details.
  • Statistical analysis to identify predictors of postoperative outcomes.

Main Results:

  • Hospital mortality was 3%, with 90% survival at median 44 months.
  • Preoperative mean pulmonary artery pressure correlated with late mortality.
  • Nakata index, McGoon index, and cardiopulmonary bypass duration were significant predictors of outcome.
  • 42% of patients received pre-Fontan interventional catheterization.

Conclusions:

  • The Fontan operation demonstrates low hospital mortality.
  • Preoperative hemodynamic evaluation aids in selecting high-risk patients.
  • Interventional procedures before Fontan surgery can enhance postoperative results.
Abstract

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