Document Detail

The adult with a Fontan operation.
MedLine Citation:
PMID:  17601400     Owner:  NLM     Status:  MEDLINE    
Since 1971, the Fontan operation has been performed for the repair of single-ventricle physiology. This ingenious operation commits a single ventricle to the systemic circulation and takes advantage of cardiovascular and respiratory physiology to propel deoxygenated blood to the lungs, thus minimizing right-to-left shunting and cyanosis. Initially performed as a right atrial to pulmonary artery anastomosis, the Fontan operation has gone through evolutionary steps that have resulted in progressive improvements in mortality, morbidity, and outcomes. Inclusion of the right atrium in the slow-flowing Fontan circuit results in progressive dilation and incessant arrhythmias. This spurred forth efforts to create modifications that partially or completely exclude the atrium from the Fontan circuit. The transcatheter completion of the Fontan operation has been performed in a small number of patients and we expect minimally invasive, transcatheter, and hybrid interventions to play an important role in the future management of these patients.
Jamil Aboulhosn; John S Child
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current cardiology reports     Volume:  9     ISSN:  1523-3782     ISO Abbreviation:  Curr Cardiol Rep     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-02     Completed Date:  2007-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888969     Medline TA:  Curr Cardiol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  331-5     Citation Subset:  IM    
Division of Cardiology, Ahmanson/UCLA Adult Congenital Heart Disease Center, David Geffen School of Medicine at UCLA, Room BH-307 CHS, 650 Charles Young Drive South, Los Angeles, CA 91690-1679, USA.
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MeSH Terms
Fontan Procedure / adverse effects*,  instrumentation,  methods*
Heart Defects, Congenital / psychology,  surgery
Pregnancy Complications, Cardiovascular*
Protein-Losing Enteropathies / etiology
Pulmonary Atresia / surgery*
Thromboembolism / etiology
Treatment Outcome

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