EXTRA CARDIAC CONDUIT FONTAN PROCEDURE IN 41 PATIENTS

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SAFARPOUR GH.R.; NAVABI SHIRAZI M.A.; RADMEHR H.; SALEHI MEHRDAD; SOLEYMANI A.A.; MEYSAMI A.P.; SANAT KAR FAR M.

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Journal: Tehran University Medical Journal Year:2007 | Volume:65 | Issue:3 Page(s): 36-44

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Title

EXTRA CARDIAC CONDUIT FONTAN PROCEDURE IN 41 PATIENTS

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Keywords

FONTAN PROCEDUREQ3

CARDIOPULMONARY BYPASSQ3

EXTRA CARDIAC CONDUITQ3

Abstract

Background: The Fontan operation is the definitive operation for palliation of complex congenital heart disease with single -ventricle physiology. The use of the EXTRA CARDIAC CONDUIT has recently been gaining popularity. The purpose of this study was to compare the outcomes of EXTRA CARDIAC CONDUIT FONTAN PROCEDURE (off-pump technique) and that of traditional technique (lateral tunnel technique) in which CARDIOPULMONARY BYPASS is routinely used.Methods: Forty one patients in different age groups underwent EXTRA CARDIAC CONDUIT FONTAN PROCEDURE between April 2001 and December 2004. Data were collected from ICU sheets, files and during follow up visits. Under general anesthesia and through median sternotomy, using two temporary decompressing shunts, superior vena cava implanted on right pulmonary artery and a conduit interposed between transected inferior vena cava and main pulmonary artery.Fenestration was done in almost all patients and previous shunts were closed if there were any. Results: Of our patients, 13 were female and 28 were male. Mean age of the patients was 11.1 years (SD=7.8). In 24.4% of cases FONTAN PROCEDURE was done as the first palliative surgery and in 75.6% of them there was previous history of palliative procedures. In 6 patients (14.6%) we were constrained to use CARDIOPULMONARY BYPASS which was predictable or necessary in 50% of cases. There was no reoperation due to post operative bleeding. Two cases suffered from prolonged plural effusion. Our in-hospital mortality was 9.8%. During 2-24 months follow up, we found two cases who were in NYHA functional class 11 and one case in functional class I.Conclusion: EXTRA CARDIAC CONDUIT FONTAN PROCEDURE could be used in a safe way. The results of this study were comparable and even in some cases better than that of the traditional technique.

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APA: Copy

SAFARPOUR, GH.R., NAVABI SHIRAZI, M.A., RADMEHR, H., SALEHI, MEHRDAD, SOLEYMANI, A.A., MEYSAMI, A.P., & SANAT KAR FAR, M.. (2007). EXTRA CARDIAC CONDUIT FONTAN PROCEDURE IN 41 PATIENTS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 65(3), 36-44. SID. https://sid.ir/paper/38599/en

Vancouver: Copy

SAFARPOUR GH.R., NAVABI SHIRAZI M.A., RADMEHR H., SALEHI MEHRDAD, SOLEYMANI A.A., MEYSAMI A.P., SANAT KAR FAR M.. EXTRA CARDIAC CONDUIT FONTAN PROCEDURE IN 41 PATIENTS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2007;65(3):36-44. Available from: https://sid.ir/paper/38599/en

IEEE: Copy

GH.R. SAFARPOUR, M.A. NAVABI SHIRAZI, H. RADMEHR, MEHRDAD SALEHI, A.A. SOLEYMANI, A.P. MEYSAMI, and M. SANAT KAR FAR, “EXTRA CARDIAC CONDUIT FONTAN PROCEDURE IN 41 PATIENTS,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 65, no. 3, pp. 36–44, 2007, [Online]. Available: https://sid.ir/paper/38599/en

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