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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1992-11-6
|
| pubmed:abstractText |
From 1980 to 1990 152 patients underwent Fontan operation at our institution. The following patient groups were identified: 1. patients with tricuspid atresia (n = 82, 54.0%); 2. patients with single ventricle (n = 31, 20.3%); 3. patients with a wide variety of non correctable, complex cardiac malformations (n = 39, 25.7%). In 27.0% of the patients a primary Fontan operation was performed. 45.0% of the patients received a previous shunt to increase pulmonary blood flow and in 29.4% of the patients a pulmonary artery band was placed to reduce pulmonary flow. Overall mortality was not significantly different in patients with previous palliative procedures (19.4%, n = 18) as compared to 17.4% (n = 6) in patients with primary Fontan operation. Risk of death was high in the group with complex cardiac malformations (28.2%, n = 11) and in patients with single ventricle (19.4%, n = 6). Early mortality was considerably less in patients tricuspid atresia (8.5%, n = 7). Postoperatively patients with incorporation of the residual right ventricular chamber and pulmonary valve (Fontan-Bjoerk) showed a significant (p less than 0.05) lower incidence of pleural effusion as compared to patients with other modifications of the Fontan procedure. Actuarial survival rate of all patients is 83.8 +/- 3.1% (mean +/- SEM) at ten years. The modified Fontan procedures are providing an accepted surgical method for patients with otherwise non correctable cardiac malformations.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Aug
|
| pubmed:issn |
0340-9937
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
17
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
246-53
|
| pubmed:dateRevised |
2007-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:1383114-Adolescent,
pubmed-meshheading:1383114-Adult,
pubmed-meshheading:1383114-Anastomosis, Surgical,
pubmed-meshheading:1383114-Blood Vessel Prosthesis,
pubmed-meshheading:1383114-Child,
pubmed-meshheading:1383114-Child, Preschool,
pubmed-meshheading:1383114-Electrocardiography, Ambulatory,
pubmed-meshheading:1383114-Female,
pubmed-meshheading:1383114-Follow-Up Studies,
pubmed-meshheading:1383114-Heart Atria,
pubmed-meshheading:1383114-Heart Defects, Congenital,
pubmed-meshheading:1383114-Heart Ventricles,
pubmed-meshheading:1383114-Hemodynamics,
pubmed-meshheading:1383114-Humans,
pubmed-meshheading:1383114-Infant,
pubmed-meshheading:1383114-Male,
pubmed-meshheading:1383114-Palliative Care,
pubmed-meshheading:1383114-Postoperative Complications,
pubmed-meshheading:1383114-Reoperation,
pubmed-meshheading:1383114-Survival Analysis
|
| pubmed:year |
1992
|
| pubmed:articleTitle |
Surgical evaluation of the modified Fontan procedure.
|
| pubmed:affiliation |
Klinik für Herz-, Thorax- und Gefässchirurgie, Deutsches Herzzentrum München.
|
| pubmed:publicationType |
Journal Article
|