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

Special problems in Fontan-type operations for complex cardiac lesions.

H P Gildein1, A Ahmadi, F Fontan

  • 1Department of Paediatric Cardiology, University of Freiburg Clinics, F.R.G.

International Journal of Cardiology
|October 1, 1990
PubMed
Summary

This study presents four complex pediatric cardiac cases successfully treated with the Fontan procedure, highlighting challenges in surgical management and patient selection for improved outcomes in complex congenital heart disease.

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

Investigating solar air collector performance with different absorber surfaces and Piranha fins through numerical simulation.

Scientific reports·2025
Same author

Adolescents and young adults with TB in a low-incidence setting.

IJTLD open·2025
Same author

Leveraging deep-learning and unconventional data for real-time surveillance, forecasting, and early warning of respiratory pathogens outbreak.

Artificial intelligence in medicine·2025
Same author

Prevalence of Helminths Infection in Wild Rodents of Northwestern Iran.

Archives of Razi Institute·2024
Same author

<i>Coxiella burnetii</i> Pathogenesis: Emphasizing the Role of the Autophagic Pathway.

Archives of Razi Institute·2023
Same author

Gefitinib derivatives and drug-resistance: A perspective from molecular dynamics simulations.

Computers in biology and medicine·2023

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Surgery
  • Cardiac Physiology

Background:

  • The Fontan procedure is a palliative surgery for complex single-ventricle congenital heart defects.
  • Managing patients with intricate cardiac anomalies presents unique surgical challenges.
  • Adaptations to the Fontan procedure are continually explored to improve outcomes.

Observation:

  • Four patients with complex cardiac lesions, including tricuspid atresia with straddling atrioventricular valve, unilateral lung perfusion, pulmonary artery stenosis, and atrioventricular valve stenosis, underwent successful Fontan-type operations.
  • Detailed pre-operative assessment using echocardiography and cardiac catheterization was crucial for surgical planning.
  • Each case presented distinct surgical management problems, pushing the boundaries of the standard Fontan procedure.

Related Experiment Videos

Findings:

  • Successful surgical outcomes were achieved in all four complex cases.
  • The study demonstrates the feasibility of extending the indications for modified Fontan procedures.
  • Pre-operative morphologic and hemodynamic evaluation is critical for complex cases.

Implications:

  • These findings suggest a trend towards broadening the selection criteria for modified Fontan procedures.
  • Revision of original Fontan procedure criteria may be necessary to accommodate a wider range of complex cardiac lesions.
  • This approach offers potential for improved surgical management and outcomes in challenging pediatric cardiac cases.