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Related Experiment Videos

Recent results with the modified Fontan operation

T Malm1, A Pawade, T R Karl

  • 1Victorian Paediatric Hospital Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, Australia.

Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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The modified Fontan procedure shows promising early results for complex heart conditions in children. This surgery offers low mortality and good functional outcomes for most patients.

Area of Science:

  • Pediatric Cardiac Surgery
  • Congenital Heart Disease Management

Background:

  • The Fontan procedure is a palliative surgical option for complex single-ventricle congenital heart defects.
  • Modifications to the Fontan procedure have aimed to improve outcomes and reduce mortality.

Purpose of the Study:

  • To evaluate the early outcomes of a modified Fontan procedure in a cohort of pediatric patients.
  • To assess the hospital mortality, late deaths, and functional status following the modified Fontan operation.

Main Methods:

  • A retrospective review of 61 patients who underwent a modified Fontan procedure between January 1989 and December 1991.
  • Analysis of patient demographics, diagnoses, operative details, mortality, and functional follow-up (NYHA class).

Main Results:

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  • Hospital mortality was low at 1.6%.
  • Two late deaths occurred, and two late failures (requiring Fontan takedown or heart transplantation) were noted.
  • 89% of patients achieved New York Heart Association (NYHA) class I or II functional status at a mean follow-up of 21.5 months.

Conclusions:

  • The modified Fontan operation, with current patient selection, can be performed with low mortality.
  • Early results indicate encouraging functional outcomes for the majority of patients undergoing this procedure.