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Related Experiment Videos

Tricuspid atresia corrected by the Fontan method

J Hassoulas, M S Barnard, H Sanchez

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |September 4, 1982
    PubMed
    Summary

    The Fontan procedure effectively treated tricuspid atresia in 13 patients, with 10 survivors showing good to very good results. This surgical approach offers significant symptomatic relief for complex congenital heart disease.

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    Area of Science:

    • Cardiology
    • Pediatric Cardiac Surgery
    • Congenital Heart Disease

    Background:

    • Tricuspid atresia is a severe congenital heart defect requiring complex surgical management.
    • Previous palliative shunts were performed in 70% of patients, indicating complex disease presentation.
    • The Fontan procedure is a definitive surgical option for single-ventricle physiology.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of the Fontan procedure in patients with tricuspid atresia.
    • To assess the early and late results of the Fontan procedure in this specific patient cohort.
    • To explore potential improvements in long-term outcomes, including left ventricular function.

    Main Methods:

    • Retrospective analysis of 13 patients who underwent the Fontan procedure for tricuspid atresia.

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  • All patients had concordant arterial connections.
  • Review of pre-operative history, surgical details, and post-operative outcomes.
  • Main Results:

    • The Fontan procedure was performed on 13 patients with tricuspid atresia.
    • There were 3 early deaths (23%) due to low cardiac output states.
    • No late deaths were observed among the 10 survivors, with results rated as good to very good.

    Conclusions:

    • The Fontan procedure provides good symptomatic relief for patients with tricuspid atresia.
    • Survivors experienced manageable postoperative courses, with transient complete heart block in two patients.
    • Further investigation into early complete correction may enhance long-term left ventricular function.