Fontan procedure: Old lessons and new frontiers

Expert Review of Cardiovascular Therapy

Volumn 4, Issue 4, 2006, Pages 515-521

  Setty, Shaun P ^a   Herrington, Cynthia S ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

Author keywords

Congenital heart surgery; Extracardiac conduit; Fontan procedure; Single ventricular physiology

Indexed keywords

ACETYLSALICYLIC ACID; ANTIARRHYTHMIC AGENT; ANTICOAGULANT AGENT; DIGOXIN; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; DIURETIC AGENT; GLYCOSAMINOGLYCAN; HEPARIN; STEROID; WARFARIN;

ANTICOAGULANT THERAPY; ARTIFICIAL HEART PACEMAKER; BRONCHITIS; CARDIOPULMONARY BYPASS; CLINICAL TRIAL; DIURESIS; EXERCISE TOLERANCE; FENESTRATION; FOLLOW UP; FONTAN PROCEDURE; HEART ARREST; HEART ATRIUM ARRHYTHMIA; HEART CATHETERIZATION; HEART FAILURE; HEART HEMODYNAMICS; HEART PACING; HEART SINGLE VENTRICLE; HEART TRANSPLANTATION; HEART VENTRICLE FUNCTION; HEART VENTRICLE PRESSURE; HIGH RISK PATIENT; HUMAN; HYPERTENSION; LOW DRUG DOSE; LUNG CIRCULATION; MORBIDITY; NORWOOD PROCEDURE; OUTCOME ASSESSMENT; PALLIATIVE THERAPY; PATIENT CARE; PATIENT SELECTION; PLASMA TRANSFUSION; POSTOPERATIVE THROMBOSIS; PREOPERATIVE CARE; PROTEIN LOSING GASTROENTEROPATHY; QUALITY OF LIFE; RADIOFREQUENCY ABLATION; REOPERATION; REVIEW; SURGICAL APPROACH; SURGICAL MORTALITY; SURGICAL RISK; SYSTEMIC CIRCULATION; TRACHEOBRONCHIAL TOILET; TREATMENT FAILURE; TREATMENT INDICATION; VENOUS THROMBOEMBOLISM;

ARRHYTHMIA; BRONCHITIS; FONTAN PROCEDURE; HEART BYPASS, RIGHT; HEART FAILURE, CONGESTIVE; HEART TRANSPLANTATION; HUMANS; PATIENT SELECTION; PROTEIN-LOSING ENTEROPATHIES; TREATMENT OUTCOME;

EID: 33748098321     PISSN: 14779072     EISSN: 17448344     Source Type: Journal    
DOI: 10.1586/14779072.4.4.515     Document Type: Review

References (42)

1. Fontan F, Bauder E. Surgical repair of tricuspid atresia. Thorax 26, 240-248 (1971).
2. Setty SP, Finucane K, Wilson N, Beca J, Kerr AR. Stage one Norwood procedure results: the Green Lane experience. Heart Lung Circ. 10, 136-141 (2001).
3. Penny DJ, Rigby ML, Redington AN. Abnormal patterns of intraventricular flow and diastolic filling after the Fontan operation: evidence for incoordinate ventricular wall motion. Br. Heart J. 66(5), 375-378 (1991).
4. Penny DJ, Lincoln C, Shore DF, Xiao HB, Rigby ML, Redington AN. The early response of the systemic ventricle during transition to the Fontan circulation: an acute hypertrophic cardiomyopathy? Cardiol. Young 2, 78-84 (1992).
5. Mahle WT, Wernovsky G, Bridges ND, Linton AB, Paridon SM. Impact of early ventricular unloading on exercise performance in presolescents with single ventricle Fontan physiology. J. Am Coll. Cardiol. 34, 1637-1643 (1999).
6. Mavroudis C, Stewart RD, Backer CL, Deal BJ, Young L, Franklin WH. Atrioventricular valve procedures with repeat Fontan operations: influence of valve pathology, ventricular function, and arrhythmias on outcome. Ann. Thorac. Surg. 80, 29-36 (2005).
7. Matsuda H, Kawashima Y, Kishimoto H et al. Problems in the modified Fontan operation for univentricular heart of the right ventricular type. Circulation 76, III45-III52 (1987).
8. Gandhi SK, Bromberg BI, Schuessler RB et al. Characterization and surgical ablation of atrial flutter after the classic Fontan repair. Ann. Thorac. Surg. 61, 1666-1679 (1996).
9. Rodefeld MD, Bromberg BI, Schuessler RB et al. Atrial flutter after lateral tunnel construction in the modified Fontan operation: a canine model. J. Thorac. Cardiovasc. Surg. 111, 514 (1996).
10. Bando K, Turrentine MW, Park HJ et al. Evolution of the Fontan procedure in a single center. Ann. Thorac. Surg. 69, 1873-1879 (2000).
11. Shiraishi S, Uemura H, Kagisaki K, Koh M, Yagihara T, Kitamura S. The off-pump Fontan procedure by simply cross-clamping the inferior caval vein. Ann. Thorac. Surg. 79, 2083-2087 (2005).
12. Lardo AC, Webber SA, Friehs I et al. Fluid dynamic comparison of intra-atrial and extracardiac total cavopulmonary connections. J. Thorac. Cardiovasc. Surg. 117, 697 (1999).
13. Bridges ND, Mayer JE, Lock JE et al. Effect of baffle fenestration on outcome of modified Fontan operation. Circulation 86, 1762-1769 (1992).
14. Zahn EM, Chang AC, Burke RP, Jacobs JP. Transcatheter closure of an extracardiac Fontan fenestration. Ann. Thorac. Surg. 66, 260-262 (1998).
15. Monagle P, Karl TR. Thromboembolic problems after the Fontan operation. Semin. Thorac. Cardiovasc. Surg. Pediatr. Card. Surg. Annu. 5, 36-47 (2002).
16. Cheung YF, Chay GW, Chiu CSW, Cheng LC. Long-term anticoagulation therapy and thromboembolic complications after the Fontan procedure. Int. J. Cardiol. 102, 509-513 (2005).
17. Kaulitz R, Ziemer G, Rauch R et al. Prophylaxis of thromboembolic complications after the Fontan operation (total cavopulmonary anastomosis). J. Thorac. Cardiovasc. Surg. 129, 569-575 (2005).
18. Seipelt RG, Franke A, Vasquez-Jimenez JF et al. Thromboembolic compliactions after Fontan procedures: comparison of different therapeutic approaches. Ann. Thorac. Surg. 74, 556-562 (2002).
19. Goldman M, Norcott HC, Hawker RJ et al. Femoropopliteal bypass grafts-an isotope technique allowing in vivo comparison of thrombogenicity. Br. J. Surg. 69, 380-382 (1982).
20. Driscoll DJ, Offord KP, Feldt RH et al. Five to fifteen-year follow-up after Fontan operation. Circulation 85, 496 (1992).
21. Mertens L, Hagler DJ, Sauer U, Somerville J, Gewillig M. Protein-losing enteropathy after the Fontan operation: an international multicenter study. PLE study group. J. Thorac. Cardiovasc. Surg.. 115, 1063-1073 (1998).
22. Conte S, Gewillig M, Eyskens B, Dumoulin M, Daenen W. Management of late complications after classic Fontan procedure by conversion to total cavopulmonary connection. Cardiovasc. Surg. 7, 651-655 (1999).
23. van Son JA, Mohr FW, Hambsch J, Schneider P, Hess H, Haas GS. Conversion of atriopulmonary or lateral atrial tunnel cavopulmonary anastomosis to extracardiac conduit Fontan modification. Eur. J. Cardiothorac. Surg. 15, 150-157 (1999).
24. Warnes CA, Feldt RH, Hagler DJ. Protein-losing enteropathy after the Fontan operation: successful treatment by percutaneous fenestration of the atrial septum. Mayo. Clin. Proc. 71, 378-379 (1996).
25. Lemes V, Murphy AM, Osterman FA, Laschinger JC, Kan JS. Fenestration of extracardiac Fontan and reversal of protein-losing enteropathy: case report. Pediatr. Cardiol. 19, 355-357 (1998).
26. Carey JA, Hamilton JR, Hilton CJ et al. Orthotopic cardiac transplantation for the failing Fontan circulation. Eur. J. Cardiothorac. Surg. 14, 7-13 (1998).
27. Cohen MI, Rhodes LA, Wernovsky G, Gaynor JW, Spray TL, Rychik J. Atrial pacing: an alternative treatment for protein-losing enteropathy after the Fontan operation. J. Thorac. Cardiovasc. Surg. 121, 582-583 (2001).
28. Barber BJ, Burch GH, Tripple D, Balaji S. Resolution of plastic bronchitis with atrial pacing in a patient with Fontan physiology. Pediatr. Cardiol. 25, 73-76 (2004).
29. Setty SP, Finucane K, Skinner JR, Kerr AR. Extracardiac conduit with a limited Maze procedure for the failing Fontan with atrial tachycardias. Ann. Thorac. Surg. 74, 1992-1997 (2002).
30. Deal BJ, Mavroudis C, Backer CL, Johnsrude CL, Rocchini AP. Impact of arrhythmia circuit cryoablation during Fontan conversion for refractory atrial tachycardia. Am. J. Cardiol. 83, 563-568 (1999).
31. Mavroudis C, Backer CL, Deal BJ, Johnsrude CL. The favorable impact of arrhythmia surgery on total cavopulmonary artery Fontan conversion. J. Thorac. Cardiovasc. Surg. 115, 547-556 (1998).
32. Friedman RA, Will JC, Fenrich AL, Kertesz NJ. Atrioventricular junction ablation and pacemaker therapy in patients with drug-resistant atrial tachyarrhythmias after the Fontan operation. J. Cardiovasc. Electrophysiol. 16, 24-29 (2005).
33. Kouatli AA, Garcia JA, Zellers TM, Weinstein EM, Mahony L. Enalapril does not enhance exercise capacity in patients after Fontan procedure. Circulation 96, 1507-1512 (1997).
34. Robinson B, Heise CT, Moore JW, Anella J, Sokoloski M, Eshaghpour E. Afterload reduction therapy in patients following intraatrial baffle operation for transposition of the great arteries. Pediatr. Cardiol.. 23, 618-623 (2002).
35. Fullerton DA, Gundry SR, de Begona JA. Kawauchi M, Razzouk AJ, Bailey LL. The effects of donor-recipient size disparity in infant and pediatric heart transplantation. J. Thorac. Cardiovasc. Surg. 104, 1314-1319 (1992).
36. Mahle WT, Wernovsky G. Neurodevelopmental outcomes in hypoplastic left heart syndrome. Semin. Thorac. Cardiovasc. Pediatr. Card. Surg. Annu. 7, 39-47 (2004).
37. Limperpoulos C, Majnemer A, Shevell MI, Rosenblatt B, Rohlicek C, Tchervenkov C. Neurologic status of newborns with congenital heart defects before open heart surgery. Pediatrics 103, 402-408 (1999).
38. Saliba Z, Butera G, Bonnet D et al. Quality of life and perceived health status in surviving adults with univentricular heart. Heart 86, 69-73 (2001).
39. Uzark K, Lincoln A, Lamberti JJ, Mainwaring RD, Spicer RL, Moore JW. Neurodevelopmental outcomes in children with Fontan repair of functional single ventricle. Pediatrics 101, 630-633 (1998).
40. Goldberg CS, Schwartz EM, Brunberg JA et al. Neurodevelopmental outcome of patients after the Fontan operation: a comparison between children with hypoplastic left heart syndrome and other functional single ventricle lesions. J. Pediatr. 137, 646-652 (2000).
41. Kovacs AH, Sears SE, Saidi AS. Biopsychosocial experiences of adults with congenital heart disease: Review of the literature. Am. Heart J. 150, 193-201 (2005).
42. Setty SP, Salles-Cunha S, Scissons R, Begeman G, Farison J, Beebe HG. Noninvasive measurement of shear rate in autologous and prosthetic bypass grafts. Vasc. Endovasc. Surg. 36, 447-455 (2002).