The fontan connections: past, present, and future

Sameh M Said1, Harold M Burkhart, Joseph A Dearani

  • 1Division of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA.

Insights

The Fontan procedure is a vital surgery for single ventricle patients, separating circulations to improve oxygenation. This review details its evolution since 1971.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Single ventricle physiology involves parallel systemic and pulmonary circulations.
  • Patients rely on one functional ventricular chamber.
  • The Fontan procedure aims to create separate circulations.

Purpose of the Study:

  • To review the Fontan procedure and its historical modifications.
  • To discuss refinements in surgical techniques since 1971.
  • To provide an overview of this critical intervention for single ventricle palliation.

Main Methods:

  • Literature review of the Fontan procedure.
  • Analysis of surgical modifications and refinements.
  • Historical overview of clinical practice since 1971.

Main Results:

  • The Fontan procedure has evolved significantly since its inception.
  • Various modifications have improved outcomes for single ventricle patients.
  • The goal remains to optimize palliation and tissue oxygenation.

Conclusions:

  • The Fontan procedure is a cornerstone in managing single ventricle defects.
  • Continuous refinement has enhanced its efficacy.
  • It represents a crucial step in achieving adequate tissue oxygenation.

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