The midterm results of extracardiac fontan in cardiovascular center – E hospital

Do Anh Tien, Doan Quoc Hung, Le Ngoc Thanh

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Abstract

connection, this technique is the end stage that application for all forms of single ventricle hearts. There are a lot of modified Fontan procedure, but now the extracadiac fontan technique is used popular in the world. Method: descriptive research was performed in Cardiovascular center- Ehospital: from August 2012 to December 2015, 61 consecutive pediatric patients with single ventricle who underwent extracardiac Fontan operation. Result: Survival rate was 96,72%. The mean time follow up was 18 months( range from 6 months to 45 months). No late death; 84,14 % without bluish coloration of the skin; 94,92 % at the stage I, II of heart failure. Late complications: Arrhythia – 3,39%; Thrombolism – 3,39%; Protein enteropathy losing -3,39%; Fontan failure – 5,08%. *
Conclusions: The midterm of extracadiac fontan was satisfactory without death and low late complications.

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References

1. Kanakis, M. A., Petropoulos, A. C., and Mitropoulos, F. A. (2009), "Fontan operation", Hellenic J Cardiol. 50(2), pp. 133-41.
2. d'Udekem, Y., et al. (2007), "The Fontan procedure: contemporary techniques have improved long-term outcomes", Circulation. 116(11 Suppl), pp. I157-64.
3. Jonas, Richard A. (2004), "Comprehensive Surgical Management of Congenital Heart Disease Hachette UK Company,338 Euston Road, London". the fisrt.
4. J. Stark, M.de Leval and VT Tsang (2006), " Surgery for Congenital Heart Defect," John Wiley & Sons, London. third edition.
5. Ocello, S., Salviato, N., and Marcelletti, C. F. (2007), "Results of 100 consecutive extracardiac conduit Fontan operations", Pediatr Cardiol. 28(6), pp. 433-7.
6. Ganigara, M., et al. (2010), "Extracardiac Fontan operation after late bidirectional Glenn shunt", Asian Cardiovasc Thorac Ann. 18(3), pp. 253-9.
7. G.S. Haas, H. Hess (2000), "Extracardiac conduit Fontan procedure: early and intermediate results", European Journal of Cardio-thoracic Surgery. 17, pp. 648-654.
8. s, Pa n a g i o t i s G. Sf yri di (2010), "The Fontan Procedure in Greece: Early Surgical Results and Excellent Mid-Term Outcome", Hellenic J Cardiol. 51, pp. 323-329.
9. Chowdhury, U. K., et al. (2005), "Specific issues after extracardiac fontan operation: ventricular function, growth potential, arrhythmia, and thromboembolism", Ann Thorac Surg. 80(2), pp. 665-72.
10. Kim, S. J., et al. (2008), "Outcome of 200 patients after an extracardiac Fontan procedure", J Thorac Cardiovasc Surg. 136(1), pp. 108-16.
11. Adachi, I., et al. (2007), "Preoperative small pulmonary artery did not affect the midterm results of Fontan operation", Eur J Cardiothorac Surg. 32(1), pp. 156-62.
12. Ovroutski, S., et al. (2003), "Early and medium-term results after modified Fontan operation in adults", Eur J Cardiothorac Surg. 23(3), pp. 311-6.
13. Deal, Barbara J (2012), "Management of the failing Fontan circulation", Heart. 98, pp. 1098-1104.
14. Marrone C, Galasso G, Piccolo R, de Leva F (2011), " Antiplatelet versus anticoagulation therapy after extracardiac conduit Fontan: a systematic review and meta-analysis", Pediatr Cardiol. 32, pp. 32 - 39.
15. Rosenthal DN, Friedman AH, Kleinman CS (1995), "Thromboembolic complications after Fontan operations", Circulation. 92(2), pp. 287-293.
16. Monagle P, Karl TR (2002), "Thromboembolic problems after the Fontan
operation", Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 5, pp. 36-47.
17. Rosenthal, D. N., et al. (1995), "Thromboembolic complications after Fontan operations", Circulation. 92(9 Suppl), pp. II287-93.
18. Shirai, L. K., et al. (1998), "Arrhythmias and thromboembolic complications after the extracardiac Fontan operation", J Thorac Cardiovasc Surg. 115(3), pp. 499-505.
19. Jacobs, M. L. and Pourmoghadam, K. K. (2007), "Thromboembolism and the role of anticoagulation in the Fontan patient", Pediatr Cardiol. 28(6), pp. 457-64.
20. Lee, J. R., et al. (2007), "Comparison of lateral tunnel and extracardiac conduit Fontan procedure", Interact Cardiovasc Thorac Surg. 6(3), pp. 328-30.
21. Azakie, A., et al. (2001), "Extracardiac conduit versus lateral tunnel cavopulmonary connections at a single institution: impact on outcomes", J Thorac Cardiovasc Surg.122(6), pp. 1219-28.
22. Mertens, L., et al. (1998), "Protein-losing enteropathy after the Fontan operation: an international multicenter study. PLE study group", J Thorac Cardiovasc Surg. 115(5), pp. 1063-73.
23. LSK KWOK, YF CHEUNG, TC YUNG,AKT CHAU,CSW CHIU (2002), "Protein-Losing Enteropathy after Fontan Procedure", HK J Paediatr. 7, pp. 85-91.
24. Veldtman, G. R. and Webb, G. D. (2014), "Improved survival in Fontan-associated protein-losing enteropathy", J Am Coll Cardiol. 64(1), pp. 63-5.
25. John, A. S., et al. (2014), "Clinical outcomes and improved survival in patients with protein-losing enteropathy after the Fontan operation", J Am Coll Cardiol. 64(1), pp. 54-62.
26. McRae, Marion E. (2013), "long-term Issues after the Fontan Procedure", AACN Advanced critical care. 24(3), pp. 264-282.

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