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Pediatric Cardiology

Erschienen in:

01.12.2014 | Editorial

The Fontan Procedure: Now What?

verfasst von: Ra-id Abdulla

Erschienen in: Pediatric Cardiology | Ausgabe 8/2014

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Excerpt

The decision to commit a patient with single ventricle to the Fontan procedure route is made every day by pediatric cardiologists and cardiovascular surgeons. At this point, there is no other viable alternative to the palliative procedure we currently refer to as Fontan Procedure, first described by François Fontan in 1971 [1], yet more than four decades later there is concern regarding the long-term outcome of patients with Fontan circulation [4, 11, 13]. …

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Gaynor JW, Ittenbach RF, Gerdes M et al (2014) Neurodevelopmental outcomes in preschool survivors of the Fontan procedure. J Thorac Cardiovasc Surg 147:1276–1283CrossRefPubMed

Gersony WM (2008) Fontan operation after 3 decades: what we have learned. Circulation 117:13–15CrossRefPubMed

Hebson CL, McCabe NM, Elder RW et al (2013) Hemodynamic phenotype of the failing Fontan in an adult population. Am J Cardiol 112:1943–1947PubMedCentralCrossRefPubMed

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Idorn L, Jensen AS, Juul K et al (2013) Quality of life and cognitive function in Fontan patients, a population-based study. Int J Cardiol 168:3230–3235CrossRefPubMed

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Lasa J, Glatz A et al (2014) Prevalence of arrhythmias late after the Fontan operation. Am J Cardiol 113:1184–1188CrossRefPubMed

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Lastinger L, Zaidi AN (2013) The adult with a Fontan: a panacea without a cure. Circ J 77:2672–2681CrossRefPubMed

12.

Law YM, Ettedgui J, Beerman L et al (2006) Comparison of plasma B-type natriuretic peptide levels in single ventricle patients with systemic ventricle heart failure versus isolated cavopulmonary failure. Am J Cardiol 98:520–524CrossRefPubMed

13.

Rychik J (2010) Forty years of the Fontan Operation: a failed strategy. Semin Thorac Cardiovasc Surg 13:96e100CrossRef

14.

Shafer KM, Garcia JA, Babb TG et al (2012) The importance of the muscle and ventilatory blood pumps during exercise in patients without a subpulmonary ventricle (Fontan operation). J Am Coll Cardiol 60:2115–2121PubMedCentralCrossRefPubMed

15.

Sugimoto A, Ota N, Ilbuki K et al (2013) Risk factors for adverse neurocognitive outcomes in school-aged patients after the Fontan operation. Eur J Cardiothorac Surg 44:454–461CrossRefPubMed

Titel: The Fontan Procedure: Now What?
verfasst von: Ra-id Abdulla
Publikationsdatum: 01.12.2014
Verlag: Springer US
Erschienen in: Pediatric Cardiology / Ausgabe 8/2014
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-014-1067-3

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