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Related Experiment Videos

Changes in ventricular geometry early after Fontan operation

A J Chin1, W H Franklin, B A Andrews

  • 1Division of Cardiology, Children's Hospital of Philadelphia, Pennsylvania 19104.

The Annals of Thoracic Surgery
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

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Ventricular geometric alterations after Fontan operation can impair diastolic function. These changes are more pronounced following the Fontan procedure compared to the hemi-Fontan, especially in infants and affecting both ventricles.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • Fontan operation is a palliative procedure for complex congenital heart defects.
  • Ventricular volume overload is a common issue post-Fontan operation.
  • Geometric alterations can negatively impact diastolic function.

Purpose of the Study:

  • To compare geometric alterations after Fontan vs. hemi-Fontan operations.
  • To assess the impact of age (infants vs. children) on these alterations.
  • To evaluate differences in geometric changes between morphologic right and left ventricles.

Main Methods:

  • Retrospective study of 22 patients with hypoplastic left heart syndrome or functionally single left ventricle.
  • Analysis of ventricular volumes and wall thickness before and after surgery.

Related Experiment Videos

  • Comparison between Fontan and hemi-Fontan procedures, and between age groups.
  • Main Results:

    • Significant reductions in end-diastolic volumes for both right (52%) and left (40%) ventricles post-Fontan.
    • Increased ventricular wall thickness in both ventricles.
    • More severe alterations after Fontan than hemi-Fontan, and in infants compared to children.
    • Similar magnitude of alterations in morphologic right and left ventricles.

    Conclusions:

    • Fontan operation leads to significant ventricular geometric alterations impacting diastolic performance.
    • Early surgical stage (Fontan vs. hemi-Fontan) and patient age influence the severity of these changes.
    • Both ventricles undergo substantial geometric remodeling, with similar impact on morphologic right and left ventricles.