Document Detail

The hemi-Fontan operation.
MedLine Citation:
PMID:  12740775     Owner:  NLM     Status:  MEDLINE    
In hearts with a functional single ventricle, cavity volume and myocardial muscle mass increase as a consequence of the excessive volume load associated with parallel pulmonary and systemic circulations. The hemi-Fontan operation was conceived as a means of accomplishing early reduction of the volume work of the single ventricle, in anticipation of eventual completion of a modified Fontan procedure. The hemi-Fontan procedure includes association of the superior vena(e) cava(e) (SVC) with the branch pulmonary arteries, augmentation of the central pulmonary arteries, occlusion of the inflow of the SVC into the right atrium, and elimination of other sources of pulmonary blood flow. Because it is preparatory to an eventual completion Fontan procedure, concomitant procedures are conveniently performed in conjunction with the hemi-Fontan. These may include atrial septectomy, relief of aortic arch obstruction, proximal main pulmonary artery to ascending aortic anastomosis, repair or revision of anomalous pulmonary venous connection, atrioventricular valvuloplasty, or other procedures.
Marshall L Jacobs; Kamal K Pourmoghadam
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual     Volume:  6     ISSN:  1092-9126     ISO Abbreviation:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Publication Date:  2003  
Date Detail:
Created Date:  2003-05-12     Completed Date:  2003-10-15     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9815944     Medline TA:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Country:  United States    
Other Details:
Languages:  eng     Pagination:  90-7     Citation Subset:  IM    
Copyright Information:
Copyright 2003 Elsevier, Inc. All rights reserved.
Section of Cardiothoracic Surgery, St Christopher's Hospital for Children, Philadelphia, PA 19134, USA.
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MeSH Terms
Abnormalities, Multiple / radiography,  surgery
Anastomosis, Surgical
Follow-Up Studies
Fontan Procedure / methods*
Heart Defects, Congenital / radiography,  surgery
Hemodynamics / physiology
Infant, Newborn
Risk Assessment
Survival Rate
Treatment Outcome
Tricuspid Atresia / radiography,  surgery*
Vascular Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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