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Updated: Apr 27, 2026

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

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The Hemi-Fontan operation: A critical overview.

Sachin Talwar¹, Vinitha Viswambharan Nair¹, Shiv Kumar Choudhary¹

¹Department of Cardiothoracic and Vascular Surgery, Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India.

Annals of Pediatric Cardiology

|July 3, 2014

Summary

The hemi-Fontan (HF) operation is a staged surgical procedure for complex heart conditions. This review explores its use, benefits, and drawbacks, particularly in developing nations with limited awareness.

Keywords:

Fontan single ventricle superior cavopulmonary anastomosis

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Area of Science:

Cardiovascular Surgery
Pediatric Cardiology
Congenital Heart Disease Management

Background:

The hemi-Fontan (HF) operation serves as a crucial preliminary step toward complete Fontan palliation.
While widely adopted in Western countries, its application remains limited in developing regions.

Purpose of the Study:

To review the indications, surgical techniques, advantages, and disadvantages of the hemi-Fontan procedure.
To evaluate the current role and awareness of the hemi-Fontan operation in developing countries.

Main Methods:

Literature review of existing studies and clinical practices related to the hemi-Fontan operation.
Analysis of surgical outcomes, patient selection criteria, and post-operative management.

Main Results:

The hemi-Fontan procedure is a valuable staging intervention for specific congenital heart defects.
Challenges in developing countries include limited awareness, resources, and surgical expertise.

Conclusions:

The hemi-Fontan operation is a significant palliative strategy, but its accessibility and implementation require further attention globally.
Enhancing awareness and training in developing nations is essential for broader application of this surgical approach.