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Update on the modified Fontan procedure

R L Geggel1

  • 1Floating Hospital for Children, New England Medical Center, Department of Pediatrics, Boston, MA 02111, USA.

Current Opinion in Cardiology
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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The modified Fontan procedure has improved survival for single ventricle heart defects but reducing complications like effusions and arrhythmias remains a challenge. This review covers recent advancements in managing these complex pediatric cardiac conditions.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • The Fontan procedure, first reported in 1971, is a surgical palliation for functional single ventricle.
  • Modifications have decreased mortality rates in patients with complex cyanotic heart disease, often treated at younger ages.

Purpose of the Study:

  • To review clinical advancements in the surgical palliation of functional single ventricle over the past year.
  • To highlight ongoing challenges in reducing morbidity associated with the modified Fontan procedure.

Main Methods:

  • Literature review of clinical contributions published within the last year.
  • Analysis of studies focusing on outcomes and complications of modified Fontan procedures.

Main Results:

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  • While mortality has decreased, significant morbidity issues persist.
  • Common complications include effusions, arrhythmias, impaired ventricular function, exercise intolerance, cyanosis due to pulmonary arteriovenous malformations, thromboembolism, and protein-losing enteropathy.

Conclusions:

  • The modified Fontan procedure remains critical for single ventricle palliation, offering improved survival.
  • Further research and clinical efforts are needed to effectively address and reduce the diverse range of morbidities associated with this procedure.