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[Intermediate-term results after Fontan type operation for single ventricle].
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai
|November 1, 1989
Summary
The Fontan operation successfully treated single ventricle patients, improving exercise tolerance. Despite subnormal cardiac output, the procedure offers a safe and effective intermediate-term outcome without heart failure signs.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Congenital Heart Disease
Context:
- Single ventricle physiology presents significant surgical challenges.
- The Fontan procedure is a palliative option for complex single ventricle defects.
- Evaluating long-term outcomes of Fontan-type operations is crucial.
Purpose:
- To assess the safety and efficacy of the Fontan-type operation in patients with single ventricle.
- To evaluate the intermediate-term clinical and physiological outcomes post-Fontan procedure.
Summary:
- Five patients with single ventricle underwent successful Fontan-type operations between 1983-1985.
- Postoperative cyanosis resolved, and exercise tolerance improved significantly in most patients.
- Cardiac output remained subnormal, but hepatic and renal functions were preserved, with arrhythmias resolving.
- The Fontan procedure demonstrated a safe and effective intermediate-term outcome, with no signs of heart failure.
Impact:
- The Fontan operation provides a viable surgical solution for single ventricle patients.
- Improved exercise tolerance suggests enhanced quality of life post-surgery.
- Understanding cardiac output limitations is key for managing patients long-term.