KẾT QUẢ PHẪU THUẬT FONTAN CHO CÁC BỆNH TIM BẨM SINH PHỨC TẠP CHỈ CÓ MỘT TÂM THẤT CHỨC NĂNG TẠI VIỆN TIM TPHCM

Abstract

From 02/2007 to 06/2014, there were 37 patients underwent Fontan completion Age ranged from 4 to 28 years old (median was 13 years old ). There were
26 males. All patients preoperatively had sinus rhythms. Pulmonary arterial mean pressure = 14 ± 2 mmHg (11 – 16 mmHg). 35 patients underwent
Extracardiac conduit procedure with prosthesis (Dacron or Goretex grafts), 2 patients were performed direct anatomosis between IVC and PA. 30-day mortality was 5.4% (2 cases). There was a significant increase in post-operative SpO2 : 95 ± 3.6 % in comparison with pre-operative SpO2 : 76 ± 5.3 %(p <
0.01). The most common complication was pleural effusion. 35 patients were followed up, only 1 late death due to severe thrombosis of the conduit graft